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Washington rates for HCPCS A4246

Betadine or pHisoHex solution, per pint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $3.86 / $4.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.70 / $2.94
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.74 / $85.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $5.71 / $17.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.65 / $1.65
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.46 / $4.34 / $5.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $4.44 / $5.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $5.16 / $30.00
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
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.72 / $2.72 / $2.74
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.82 / $4.36 / $5.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.30 / $2.17
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60