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New York rates for HCPCS A4245

Alcohol wipes, per box

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.38 / $2.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.38 / $2.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $3.79 / $7.22
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $2.06 / $2.06
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.41 / $1.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.40 / $1.40 / $1.70
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.70 / $1.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $4.00 / $4.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.51 / $3.16
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $6.67
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.70 / $1.81