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Tennessee rates for HCPCS A4217

Sterile water/saline, 500 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.92 / $1.92 / $3.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.36 / $3.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.79 / $3.72 / $8.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.89 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.81 / $21.81 / $27.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.78 / $2.18