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Indiana rates for HCPCS A4245

Alcohol Wipes Per Box (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.24 / $1.67
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.19 / $6.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.19 / $3.19 / $4.51
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.83 / $2.50 / $2.84
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.04 / $2.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.19 / $2.10