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Oregon 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
$1.76 / $1.76 / $1.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.59 / $1.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.65 / $1.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $4.72 / $5.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $3.72 / $4.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.21 / $4.21 / $4.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.30 / $3.96 / $5.16
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $5.16 / $5.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $4.09 / $5.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.65 / $2,400,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.18 / $4.22 / $6.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.30 / $2.17