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Ohio rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $6.87 / $18.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.78 / $3.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $2.06 / $3.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $5.26 / $6.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $5.54 / $10.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.79 / $8.55 / $35.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.91 / $4.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.18 / $3.43