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Montana 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 / $1.01 / $2.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.15 / $3.15 / $4.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $3.16 / $3.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $3.18 / $4.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.30 / $1.30