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Missouri rates for HCPCS A4455

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

Facilitymedian $2 · 10th–90th $1–$40%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%10th90th$1$0.2$1.0$5.0$20.0

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 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.95 / $1.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.95 / $4.90
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.98 / $10.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.07 / $1.29 / $2.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.91 / $1.48