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Montana rates for HCPCS A4217

Sterile water/saline, 500 ml

Facilitymedian $4 · 10th–90th $3–$110%20%40%10th90th$4Professionalmedian $2 · 10th–90th $1–$50%20%10th90th$2$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $77,624.71 / $95,499.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $3.89
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $3.63 / $7.08
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.63 / $7.08
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $3.31 / $5.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.14 / $3.55 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.86 / $2.29