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Virginia rates for HCPCS A4455

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

Facilitymedian $2 · 10th–90th $1–$30%10%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%50%10th90th$1$0.2$2.0$20.0$200.0$2.0K

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 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $0.72 / $1.51
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.10 / $1.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.20 / $1.20 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.02 / $1.02 / $1.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.24 / $3.47
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $2.14
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.02 / $1.58 / $2.45
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.10 / $1.29 / $1.32
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $1.78 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.41 / $1.78 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.23 / $1.23 / $1.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $1.00 / $1.62