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Virginia rates for HCPCS A4216

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

Facilitymedian $3 · 10th–90th $0–$5,1290%10%10th90th$3Professionalmedian $0 · 10th–90th $0–$20%20%10th90th$0$0.0$0.2$2.0$20.0$200.0$2.0K

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
$3.02 / $41.69 / $7,244.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $1.26 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.81
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.35 / $0.35 / $0.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.37 / $0.37 / $0.37
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.50 / $0.69 / $1.10
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.43 / $0.43 / $0.43
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.34 / $0.48 / $0.79
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.39 / $0.41
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.54 / $512.86
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.39 / $0.52 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.26 / $0.31 / $0.52