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Maine rates for HCPCS A4245

Alcohol Wipes Per Box (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.50 / $1.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.19 / $3.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.34 / $4.34 / $4.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.50 / $1.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.30 / $4.34