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South Dakota rates for HCPCS A4216

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

Facilitymedian $10 · 10th–90th $1–$110%20%40%10th90th$10Professionalmedian $1 · 10th–90th $0–$10%10%20%10th90th$1$0.2$0.5$1.0$2.0$5.0$10.0

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
$10.47 / $10.72 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.56
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.76 / $0.76 / $0.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.59 / $1.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.26 / $4.27
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $0.68
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $0.68 / $1.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.30 / $0.69
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.56 / $0.56