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Nebraska 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
$1.64 / $1.64 / $1.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.64 / $1.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $1.91 / $1.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $2.78 / $4.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.64 / $2.71 / $3.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.00 / $2.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.18 / $2.54 / $4.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.99 / $2.31 / $4.33
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.40 / $2.40 / $3.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $1.00 / $1.57