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Oregon rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.88 / $8.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.73 / $8.48 / $10.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.21 / $4.11 / $6.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $4.16 / $4.59
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.48 / $3.72 / $5.48
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $3.84 / $6.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.13 / $3.50 / $3.84
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.58 / $4.82 / $4.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $1.85 / $3.54