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Pennsylvania rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.56 / $1.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.45 / $0.57
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.76 / $0.76
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
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $3.66 / $3.66
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.10
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $1.05 / $1.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.45 / $0.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.40
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $0.84
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.44 / $0.85