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Illinois rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $2.46 / $2.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.46 / $3.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $8.07 / $32.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $6.20 / $6.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $5.29 / $11.17
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.69 / $5.69 / $5.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $5.96 / $6.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.18 / $3.87