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Idaho rates for HCPCS A4245

Alcohol wipes, per box

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.76 / $2.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.50 / $2.00 / $3.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,500.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $4.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.30 / $2.04