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Ohio rates for HCPCS A4216

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.44 / $769.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.34 / $0.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.30 / $0.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.59 / $0.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.60 / $0.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $1.96 / $3.87
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.47 / $0.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.38 / $0.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.26 / $0.36