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New Jersey rates for HCPCS A4217

Sterile Water/Saline 500 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.52 / $2.88
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,073.70 / $1,743.68 / $2,511.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $5.74 / $6.51
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.60 / $48.60 / $48.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.85 / $2.18 / $3.49