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New Jersey 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
$0.96 / $0.96 / $0.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.96 / $1.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.69 / $2.57 / $2.96
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.30 / $1.30 / $1.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $0.98 / $1.25