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Pennsylvania rates for HCPCS A4217

Sterile Water/Saline 500 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.15 / $3.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.69 / $3.52
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$581.04 / $1,319.24 / $2,106.53
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.38
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
Professional
Modifier
Low / Median / High Price
$3.91 / $5.04 / $5.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.60 / $23.95 / $149.28
Independence Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.28 / $1,095.21 / $2,106.53
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.15 / $2.95 / $964.69
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.69 / $5.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $6.40 / $8.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.65 / $6.65 / $6.65
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.13 / $3.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.25 / $4.82