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New York rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $2.69 / $3.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.96 / $3.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $2.37 / $5.31
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $3.10 / $3.10
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $3.10 / $3.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $6.65 / $6.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.72 / $6.81 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $5.01 / $8.07
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $1.60 / $2.94
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.94 / $3.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $6.65 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $6.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $2.23 / $4.61
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $2.94 / $8.66
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.94 / $3.12