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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 July 2026.

Facilitymedian $0 · 10th–90th $0$10%50%90th$0Professionalmedian $0 · 10th–90th $0$10%10%10th90th$0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.17
Median
$0.17
Typical High
$0.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.17
Median
$0.31
Typical High
$0.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$0.31
Typical High
$0.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.40
Median
$0.45
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$0.34
Median
$0.44
Typical High
$0.46
Select Health
Setting
Facility
Modifier
Global
Typical Low
$0.63
Median
$0.63
Typical High
$0.63
Select Health
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$0.63
Typical High
$0.65
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$0.63
Typical High
$0.65
United
Setting
Professional
Modifier
Global
Typical Low
$0.21
Median
$0.26
Typical High
$0.40