go back

Utah rates for HCPCS A4244

Alcohol Or Peroxide Per Pint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.41 / $0.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.78 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.43 / $0.72