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Idaho rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.48 / $5.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.42 / $3.72 / $6.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.91 / $4.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $6.51 / $7.25
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.60 / $2.60 / $3.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.72 / $1.85 / $2.92