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Minnesota 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
Facility
Modifier
Low / Median / High Price
$1.12 / $1.12 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $1.12 / $1.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $1.82 / $2.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $1.70 / $1.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.99 / $5.17 / $11.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.18 / $2.38
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.92 / $4.74 / $11.31
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $2.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.75 / $2.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $0.88 / $3.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.85 / $1.93