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Massachusetts rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.63 / $26.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.63 / $2.78
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.54 / $7.92 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $3.64 / $21.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.35 / $2.43 / $2.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $3.02
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $2.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.89 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.68 / $2.23 / $21.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $2.23 / $6.25