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Texas rates for HCPCS A4455

Adhesive remover or solvent (for tape, cement or other adhesive), per oz

Facilitymedian $2 · 10th–90th $1$50%10%10th90th$2Professionalmedian $1 · 10th–90th $1$10%50%10th90th$1$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.12
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.74 / $4.68
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.81 / $0.81 / $0.81
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $1.29
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.02
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.59 / $12.59
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.58 / $2.82
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.41
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.82 / $3.80
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.05 / $1.58 / $2.75
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $0.81 / $1.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.71 / $0.91 / $1.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.55 / $1.74 / $1.74