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Utah rates for HCPCS A4216

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

Facilitymedian $66 · 10th–90th $66–$660%50%100%$66Professionalmedian $1 · 10th–90th $0–$30%20%10th90th$1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $0.45 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.34 / $0.44 / $0.44
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.54 / $0.62 / $1.55
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.63 / $0.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $0.26 / $0.40