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Montana rates for HCPCS A4456

Adhesive remover, wipes, any type, each

Facilitymedian $0 · 10th–90th $0–$00%20%40%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%20%10th90th$0$0.1$0.5$2.0$10.0$50.0

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
$1.48 / $1.48 / $1.48
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.33 / $0.33 / $0.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.36 / $0.36 / $0.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.36 / $0.36
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.33 / $0.65
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.27 / $0.33 / $0.65
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.20 / $0.35 / $0.49
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.49 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.13 / $0.14 / $0.18