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Virginia rates for HCPCS A4217

Sterile water/saline, 500 ml

Facilitymedian $4 · 10th–90th $2–$590%10%10th90th$4Professionalmedian $2 · 10th–90th $1–$30%20%10th90th$2$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$2.00 / $5.50 / $58.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $0.89 / $1.86
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.04 / $2.04
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $2.24 / $2.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.47 / $6.92
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.16
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $3.39 / $5.50
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.57 / $2.82
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $3.72 / $512.86
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $3.72 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.63 / $2.63 / $2.63
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.78 / $1.95 / $3.24