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Wisconsin 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
$0.36 / $0.41 / $4.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.36 / $0.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.62 / $0.62 / $1.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.57 / $0.62 / $0.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.80 / $1.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.84 / $1.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.80 / $2.11 / $2.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.94 / $1.19
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.43 / $0.62
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.43 / $0.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.34 / $1.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.32 / $0.43 / $0.62
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.30 / $0.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.80 / $1.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.26 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $2.75 / $4.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.62 / $0.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.31 / $0.56