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West Virginia rates for HCPCS A4245

Alcohol wipes, per box

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.18 / $1.75
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.08 / $2.57 / $3.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.54 / $4.00 / $4.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.78 / $2.78