go back

Washington rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $1.29 / $1.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.56 / $0.99
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $85.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.90 / $7.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.82 / $1.41 / $1.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.82 / $1.40 / $1.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.83 / $3.06
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.23 / $1.34
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.91 / $0.91 / $0.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.94 / $1.42 / $1.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.43 / $0.72
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $1.81 / $1.81