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Utah rates for HCPCS A4455

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

Professionalmedian $1 · 10th–90th $1–$70%50%90th$1$1.0$2.0$5.0$10.0$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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $8.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.55 / $2.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.98 / $1.23 / $1.41
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $1.74 / $3.63
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $1.78 / $2.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.66 / $0.85 / $1.29