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New York 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
$0.74 / $1.20 / $1.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.05 / $1.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.59 / $7.27
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $1.41 / $1.41
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.41 / $1.41 / $1.41
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $3.09 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $2.27 / $3.67
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.29 / $1.29
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.05 / $1.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $2.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $1.00 / $1.87
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $0.99 / $1.22
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.99 / $1.05 / $1.29