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Illinois rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.04 / $2.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $13.49 / $38.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.82 / $1.82
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $2.63 / $158.49
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.44 / $0.72