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New Hampshire 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
$1.05 / $1.05 / $1.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.05 / $1.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $0.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.63 / $2.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $1.00 / $1.59
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $1.68 / $2.54