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Georgia rates for HCPCS A4455

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.26 / $1.26 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $1.26 / $1.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.83 / $4.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $3.18 / $6.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $2.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $1.99 / $2.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $1.00 / $2.71