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Sterile Water, Saline or Dextrose Diluent or Flush

Utah rates for HCPCS A4216

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

Rates data updated October 2026.

How much does Sterile Water, Saline or Dextrose Diluent or Flush cost?

$0.26

Typical negotiated rate. In Utah, October 2026.

Insurers have agreed to pay about $0.26 for this service. Most negotiated rates run $0.21 to $0.44.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $0Professionalmedian $0 · 10th to 90th $0 to $1
$0.2$0.5$1$2$5$10$20facility $0professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.17
Median
$0.17
Typical High
$0.17
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.17
Median
$0.17
Typical High
$0.28
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.09
Median
$0.09
Typical High
$0.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.03
Median
$0.03
Typical High
$0.06
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.03
Median
$0.03
Typical High
$0.04
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Aetna
Setting
Professional
Modifier
RR · Rental
Typical Low
$0.05
Median
$0.17
Typical High
$0.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.31
Median
$0.31
Typical High
$0.31
Molina
Setting
Professional
Modifier
None
Typical Low
$0.45
Median
$0.45
Typical High
$60.26
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$0.44
Median
$0.44
Typical High
$0.44
Select Health
Setting
Facility
Modifier
None
Typical Low
$0.63
Median
$0.63
Typical High
$0.63
Select Health
Setting
Professional
Modifier
None
Typical Low
$0.54
Median
$0.63
Typical High
$0.65
U of Utah Health Plan
Setting
Professional
Modifier
None
Typical Low
$0.41
Median
$0.63
Typical High
$0.93
United
Setting
Professional
Modifier
None
Typical Low
$0.21
Median
$0.26
Typical High
$0.52

Where Utah sits

The same service costs 4.6 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 50th of 51

$0.26

HI $1.05RI $0.23

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.