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Missouri 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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $0.95 / $1.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.20 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.95 / $5.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.98 / $10.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $1.29 / $2.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.91 / $1.48