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Indiana 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
$1.45 / $1.45 / $1.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.00 / $1.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.20
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.49 / $1.77 / $2.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.49 / $1.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.85 / $1.22