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New Hampshire rates for HCPCS A4245

Alcohol wipes, per box

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.37 / $1.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $2.71 / $3.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
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 / $6.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.90 / $1.55 / $2.58
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $3.97 / $5.05