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Pennsylvania 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
$0.38 / $18.60 / $4,963.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.34 / $0.52
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.91 / $490.21 / $782.76
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.73 / $1.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.74 / $5.98 / $10.63
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.97 / $406.96 / $782.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $15.41 / $2,373.23
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.36 / $0.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.90 / $1.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.69 / $0.69 / $0.69
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.59 / $0.59
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.57 / $0.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.31 / $0.71