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Minnesota rates for HCPCS A4455

Adhesive remover or solvent (for tape, cement or other adhesive), per oz

Facilitymedian $4 · 10th–90th $2–$120%5%10%10th90th$4Professionalmedian $2 · 10th–90th $1–$20%50%10th90th$2$0.5$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.51 / $1.95 / $3.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.74 / $1.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $5.50 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $2.09 / $2.40
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $5.50 / $11.75
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.29
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.74 / $2.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.85 / $1.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.56 / $0.85 / $2.34