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Illinois rates for HCPCS A4246

Betadine Or Phisohex Solution Per Pint (Not Valid For Medicare)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.26 / $1.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.00 / $37.40 / $133.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.65 / $1.65
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $9.44 / $125.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $40.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.35 / $2.14