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New Mexico 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
$1.23 / $1.23 / $1.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $1.01 / $1.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.01 / $1.35 / $1.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $2.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.04 / $1.34 / $1.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.13 / $2.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.85 / $1.28