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Oregon 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
Professional
Modifier
Low / Median / High Price
$0.59 / $1.12 / $5.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $1.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.93 / $4.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $1.83 / $3.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.94 / $2.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.69 / $1.80 / $1.99
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.73 / $1.90 / $1.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.46 / $1.89 / $3.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.74 / $2.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.08 / $2.19 / $2.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $0.85 / $1.61