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Maryland 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 / $1.26 / $1.83
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.52 / $3.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.00 / $1.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.85 / $1.69