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Iowa rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.54 / $0.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.75 / $0.98 / $1.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.23 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.54 / $1.10 / $7.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.56 / $3.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.00 / $1.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.11 / $1.66
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.67
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $2.64 / $2.64
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.64 / $2.64