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Utah rates for HCPCS A4217

Sterile water/saline, 500 ml

Facilitymedian $20 · 10th–90th $14–$320%10%20%10th90th$20Professionalmedian $2 · 10th–90th $1–$80%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $19.95 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $7.94
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $3.02 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.63 / $2.63
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.80 / $3.80
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.80 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.86 / $2.82