go back

Montana rates for HCPCS A4248

Chlorhexidine containing antiseptic, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.79 / $181.79 / $181.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.07 / $1,800,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03