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Ohio 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
$1.26 / $1.26 / $12.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.26 / $1.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.85 / $1.20 / $2.71
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.47 / $1.69 / $2.69
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.47 / $2.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.49 / $1.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.95 / $1.26