go back

Indiana rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.41 / $0.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $2.13 / $4.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.13 / $3.02
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.78 / $2.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.72 / $2.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.83 / $2.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.40 / $0.69