go back

Florida 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
$0.77 / $0.96 / $1.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.77 / $1.23 / $1.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.10 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.91 / $6.59
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.39 / $1.00 / $1.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.36 / $2.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.85 / $1.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.24 / $1.24