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North Dakota 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
$1.45 / $1.45 / $1.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.12 / $1.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.81 / $2.20 / $2.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.94 / $2.94 / $3.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.89 / $2.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.45 / $1.99 / $3.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.71 / $0.85 / $1.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.80 / $1.59