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Wisconsin rates for HCPCS A4244

Alcohol or peroxide, per pint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.07 / $2.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.09 / $3.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.23 / $1.82
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.54 / $1.29
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $3.16 / $4.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.39 / $0.59 / $1.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $0.43 / $7.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.51 / $2.19
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $3.39 / $7.41
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.10 / $1.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.41 / $0.71