go back

Sterile Water/Saline, 500 ml

Utah rates for HCPCS A4217

Sterile water/saline, 500 ml

Rates data updated July 2026.

Facilitymedian $10 · 10th–90th $1$140%20%10th90th$10Professionalmedian $3 · 10th–90th $1$50%10%10th90th$3$2.0$5.0$10.0$20.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$10.00
Typical High
$13.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$2.63
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.02
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.63
Typical High
$3.80
Select Health
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Select Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.80
Typical High
$3.98
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.80
Typical High
$4.57
United
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.86
Typical High
$2.82