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Washington rates for HCPCS A4248

Chlorhexidine containing antiseptic, 1 ml

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.07 / $0.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.05
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $85.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $4.45 / $5.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.50 / $85.00 / $93.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $79,999.20
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $0.03 / $0.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03