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Illinois rates for HCPCS A4455

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

Facilitymedian $3 · 10th–90th $2–$140%10%10th90th$3Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.78 / $1.78 / $1.78
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.78
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $3.80 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.29 / $1.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.38
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.48 / $2.40 / $12.88
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.24 / $2.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.58 / $1.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.87 / $1.45