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Oklahoma 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
$1.01 / $1.01 / $1.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.99 / $1.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.48 / $1.48 / $1.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.99 / $1.11 / $2.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.99 / $9.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.81 / $1.22