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Idaho rates for HCPCS A4244

Alcohol Or Peroxide Per Pint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.59 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.73 / $1.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $1.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.43 / $0.68