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Alaska rates for HCPCS A4455

Adhesive remover or solvent (for tape, cement or other adhesive), per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $2.12 / $2.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.68 / $2.12 / $2.97
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.12 / $5.97
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.18 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.60 / $2.18 / $2.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.12 / $2.97
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.86 / $2.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.31 / $5.58