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Michigan rates for HCPCS A4245

Alcohol Wipes Per Box (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.48 / $1.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.48 / $1.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.36 / $13.57 / $25.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.68 / $5.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $4.00 / $6.66
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.96 / $3.99
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.96 / $2.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $2.82 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.25 / $2.11