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Wisconsin rates for HCPCS A4216

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

Facilitymedian $1 · 10th–90th $1$20%50%10th90th$1Professionalmedian $1 · 10th–90th $0$20%20%10th90th$1$0.1$1.0$10.0$100.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$186.21
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.74
Typical High
$22.91
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.63
Median
$0.63
Typical High
$1.05
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.59
Median
$0.59
Typical High
$0.66
CareSource
Setting
Facility
Modifier
Global
Typical Low
$0.65
Median
$0.85
Typical High
$1.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.32
Typical High
$1.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$2.09
Typical High
$3.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$0.93
Typical High
$1.20
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$0.33
Median
$0.52
Typical High
$0.79
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$1.78
Typical High
$2.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.35
Median
$0.62
Typical High
$20.89
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.26
Median
$0.31
Typical High
$4.27
Molina
Setting
Professional
Modifier
Global
Typical Low
$0.12
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Network Health
Setting
Professional
Modifier
Global
Typical Low
$0.45
Median
$0.71
Typical High
$1.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$0.63
Median
$0.95
Typical High
$2.00
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$79.43
Quartz
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$0.78
Typical High
$4.37
Security Health
Setting
Professional
Modifier
Global
Typical Low
$0.63
Median
$0.63
Typical High
$0.63
Security Health
Setting
Professional
Modifier
Global
Typical Low
$0.63
Median
$0.63
Typical High
$0.63
United
Setting
Professional
Modifier
Global
Typical Low
$0.21
Median
$0.31
Typical High
$0.50