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Hawaii 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
$0.59 / $0.60 / $0.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $2.61 / $2.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.37 / $2.48 / $2.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $3.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $2.61 / $2.96
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $1.97 / $2.25