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Utah rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $1.35 / $1.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.82 / $1.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.72
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.55 / $1.86
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.60 / $0.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.43 / $0.68