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Texas rates for HCPCS A4245

Alcohol Wipes Per Box (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.60 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.60 / $1.96
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $1.55 / $6,948.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $3.31 / $3.31
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.43 / $2.00 / $2.00
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.29
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.71 / $4.71 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.56 / $15.90 / $16.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.58 / $2.52 / $3.69
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.83 / $1.83
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.98 / $6.82 / $8.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.60 / $2.54 / $3.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.00 / $4.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.29 / $2.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $2.71 / $3.66