go back

West 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
$1.10 / $1.10 / $1.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.20 / $1.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.39 / $1.99 / $3.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.39 / $1.39 / $4.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $2.19 / $2.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.02 / $9.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.93 / $1.00 / $1.99