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Illinois rates for HCPCS A4244

Alcohol Or Peroxide Per Pint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.42 / $0.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.00 / $13.72 / $40.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.83 / $1.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.66 / $150.00
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
$30.00 / $40.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.45 / $0.72