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Pennsylvania rates for HCPCS A4245

Alcohol wipes, per box

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.36 / $1.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.27 / $2.27
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
$1.56 / $1.56 / $1.56
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.73
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.96 / $1.36 / $1.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.32 / $2.56