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Louisiana 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
$1.14 / $1.41 / $1.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $1.28 / $1.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.97 / $4.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.03 / $1.23 / $1.23
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.52 / $5.52 / $5.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.95 / $1.41