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Washington 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
$0.28 / $0.66 / $17.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.28 / $0.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $37.00 / $37.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.45 / $4.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.70 / $0.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.70 / $0.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.43 / $0.52 / $0.62
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.53 / $0.62
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.46 / $0.86
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.44 / $0.52 / $0.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.45 / $0.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.31 / $0.50
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.21 / $0.45