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Nebraska rates for HCPCS A4245

Alcohol wipes, per box

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $1.62 / $1.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.62 / $1.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.71 / $1.80 / $1.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $4.00 / $5.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.62 / $2.80 / $7.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.18 / $2.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.91 / $5.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $3.41 / $5.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.18 / $1.95