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Idaho 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
Professional
Modifier
Low / Median / High Price
$0.60 / $1.12 / $2.70
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
$0.86 / $1.69 / $2.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $1.99 / $2.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $3.48 / $3.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $2.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.85 / $1.43