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Virginia 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
$1.23 / $1.23 / $1.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.23 / $1.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.09
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.09 / $1.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.20 / $1.20 / $2.19
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
$1.67 / $2.29 / $3.14
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.60 / $2.73
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $3.00 / $4.63
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.42 / $1.73 / $3.10
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.42 / $1.73 / $3.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $0.99 / $1.61