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Pennsylvania rates for HCPCS A4216

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

Facilitymedian $19 · 10th–90th $5–$2,3990%10%20%10th90th$19Professionalmedian $1 · 10th–90th $0–$40%20%10th90th$1$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$6.31 / $18.62 / $2,398.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $2.69 / $22.91
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $52.48 / $63.10
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114.82 / $407.38 / $724.44
AmeriHealth
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.40 / $0.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.62 / $0.62 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.37 / $0.37 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.31
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.49 / $0.79 / $1.20
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.63 / $0.63 / $0.63
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.44 / $0.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $6.03 / $8.71
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $407.38 / $794.33
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $0.79 / $1.20
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.42 / $0.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.50 / $0.72
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.31 / $0.72