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Texas 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
$0.32 / $0.43 / $651.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.18 / $0.35 / $0.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $37.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.48 / $0.48
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.53 / $26.09
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.45 / $0.57
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.74 / $4.74 / $4.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.37 / $0.37 / $0.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.28 / $4.37 / $4.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.46 / $0.86
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.45 / $0.50 / $0.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.90 / $1.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.35 / $0.46 / $0.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $1.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.53 / $0.72