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Wisconsin 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
$1.18 / $1.18 / $1.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.18 / $1.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.04 / $4.54 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.41 / $6.32 / $8.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $2.31 / $4.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.63 / $4.00
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.63 / $4.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.18 / $1.58 / $17.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.18 / $1.63 / $4.00
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $1.60 / $1.60
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $4.63 / $6.15
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.78 / $3.85 / $90.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.73 / $17.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.30 / $2.29