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Indiana rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $2.46 / $3.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $2.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $5.68 / $6.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $5.21 / $6.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $3.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $2.18 / $3.29