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California rates for HCPCS A4245

Alcohol wipes, per box

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.92 / $0.92 / $0.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $1.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.33 / $2.77 / $4.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $2.71 / $3.79
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.03 / $5.65 / $9.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $638.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.56 / $15.90 / $16.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.73 / $2.96 / $4.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $4.00 / $4.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.30 / $4.03