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Oregon rates for HCPCS A4245

Alcohol Wipes Per Box (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.59 / $2.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $4.72 / $5.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $3.63 / $4.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $4.21 / $4.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.65 / $4.01
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.58 / $3.58 / $3.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $3.31 / $5.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.36 / $2,250,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.22 / $6.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.30 / $2.15