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Montana rates for HCPCS A4455

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

Facilitymedian $2 · 10th–90th $1–$20%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%90th$1$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.82 / $1.82
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.70 / $3.31
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.70 / $3.31
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.78 / $2.29
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.82 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.78 / $0.85 / $1.05