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Montana rates for HCPCS A4246

Betadine or pHisoHex solution, per pint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.13 / $2.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.15 / $3.15 / $3.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $3.15 / $3.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $3.80 / $3.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $2.91 / $4.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.30 / $1.33