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Texas rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.53 / $0.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.38 / $0.53 / $0.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.18 / $1.18
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.67 / $0.67 / $0.76
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.84 / $0.84 / $2.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.63 / $7.07 / $7.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.84 / $1.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $0.61 / $0.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.14 / $2.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.53 / $0.85 / $1.19
Providence
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 / $0.43 / $0.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $2.44