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Ohio rates for HCPCS A4216

Sterile water, saline and/or dextrose, diluent/flush, 10 ml

Facilitymedian $191 · 10th–90th $3–$1,4130%10%10th90th$191Professionalmedian $0 · 10th–90th $0–$10%20%40%10th90th$0$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $426.58 / $1,479.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $22.91 / $28.84
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $44.67 / $52.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.25 / $0.30 / $0.68
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.62 / $0.85
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.62 / $1.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $2.63 / $15.14
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.45 / $0.62
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.51 / $0.59 / $1.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.26 / $0.38