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Pennsylvania rates for HCPCS A4456

Adhesive remover, wipes, any type, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.20 / $0.27
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.34 / $0.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.46 / $0.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.16 / $0.16 / $0.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.16 / $0.20 / $0.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.50 / $0.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.32 / $0.32
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.25 / $0.32 / $0.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $0.17 / $0.28