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Connecticut rates for HCPCS A4455

Adhesive Remover Or Solvent (For Tape Cement Or Other Adhesive) Per Ounce (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $33.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.23 / $1.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.85 / $0.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $2.54 / $2.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.00 / $1.51