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Arizona rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $2.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.63 / $5.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.86 / $8.27 / $22.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $4.29 / $10.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $3.84 / $6.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.85 / $21.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $1.85 / $2.80