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Ohio rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.39 / $3.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.39 / $0.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.76 / $1.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.71 / $0.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.65 / $0.65 / $0.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $1.00 / $1.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.40 / $0.59