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Sterile Water, Saline or Dextrose Diluent or Flush

Oregon rates for HCPCS A4216

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

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $0$10%50%10th90th$1Professionalmedian $0 · 10th–90th $0$10%20%10th90th$0$0.2$5.0$100.0$2.0K$50.0K$1.0M

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
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$1,548.82
Typical High
$6,309.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.17
Median
$0.31
Typical High
$0.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$0.31
Typical High
$0.31
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.45
Typical High
$151.36
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$0.50
Typical High
$0.74
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$0.40
Median
$0.52
Typical High
$0.65
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$0.43
Median
$0.52
Typical High
$0.62
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$0.46
Median
$0.52
Typical High
$0.62
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.32
Median
$0.54
Typical High
$1.15
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$1.45
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$0.59
United
Setting
Professional
Modifier
Global
Typical Low
$0.17
Median
$0.26
Typical High
$0.43