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Washington rates for HCPCS A4216

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

Facilitymedian $1 · 10th–90th $0–$10%20%10th90th$1Professionalmedian $0 · 10th–90th $0–$30%20%10th90th$0$0.0$0.1$0.5$2.0$10.0$50.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $2.69 / $4.07
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.31 / $0.31 / $0.31
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.42 / $0.69 / $1.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.69 / $1.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $60.26 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.43 / $0.52 / $0.58
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.48 / $0.62
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.44 / $0.83 / $1.00
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.44 / $0.51
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.44 / $0.46 / $0.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.21 / $0.21 / $0.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.26 / $0.50
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.46 / $0.46 / $0.81