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North Carolina rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $24.50 / $137.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $3.26 / $3.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $4.95 / $6.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.59 / $2.79 / $3.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $3.75 / $7.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.80 / $6.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $6.00 / $8.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.85 / $2.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.89 / $80.00 / $85.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.81 / $21.81 / $27.90