go back

New York rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.50 / $0.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.50 / $0.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $4.82
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.66 / $1.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.12 / $1.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.61 / $1.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.83 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.33 / $0.53 / $1.22
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.56 / $0.56
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.61 / $1.12