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South Carolina rates for HCPCS A4245

Alcohol Wipes Per Box (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.55 / $1.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.96 / $3.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.78 / $1.18 / $1.83