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Massachusetts 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
$0.87 / $0.87 / $0.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.96 / $1.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $3.43 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.97 / $1.94 / $10.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.28 / $3.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $1.31 / $1.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.37
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.63 / $1.63
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.43 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.13 / $10.03
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.28 / $1.28 / $1.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.13 / $2.25