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Washington rates for HCPCS A4217

Sterile Water/Saline 500 Ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $5.63 / $5.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $2.48 / $5.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.07 / $3.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.89 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.72 / $27.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.24 / $2.24
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $4.59 / $7.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $4.79 / $8.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.69 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.48 / $3.48 / $4.79
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $3.48 / $3.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.64 / $3.64 / $3.64
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.72 / $4.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.18 / $3.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.89 / $3.72