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Wisconsin rates for HCPCS A4217

Sterile water/saline, 500 ml

Facilitymedian $4 · 10th–90th $4$70%50%10th90th$4Professionalmedian $2 · 10th–90th $1$70%20%10th90th$2$1.0$5.0$20.0$100.0$500.0$2.0K

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 / $2.00 / $7.24
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $7.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.91 / $1.86 / $4.37
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $6.61 / $7.08
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $10.23 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $6.61 / $8.51
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $3.63 / $6.31
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $7.94 / $10.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $4.27 / $9.77
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.19 / $21.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $5.01 / $8.71
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $6.61 / $10.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $5.50 / $21.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $2.19 / $3.55