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Texas rates for HCPCS A4217

Sterile Water/Saline 500 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.88 / $390.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.88 / $3.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $4.59 / $12.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $1.86
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.73 / $3.61 / $4.38
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $4.38 / $4.82
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.69 / $2.69 / $2.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $2.63 / $6.65
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $3.44 / $5.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $4.16 / $4.38
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.40 / $6.30 / $8.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.88 / $3.43 / $5.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $2.02 / $2.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $4.38 / $5.91