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Oklahoma 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
$4.98 / $18.03 / $59.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.19 / $0.31 / $0.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.00 / $53.00 / $53.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.38 / $1.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.35 / $4.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.26 / $0.38