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Utah rates for HCPCS A4456

Adhesive remover, wipes, any type, each

Professionalmedian $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
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.17 / $0.17 / $0.17
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.22 / $0.25 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.19 / $0.25 / $0.25
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.28 / $0.34 / $0.35
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.30 / $0.35 / $0.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.11 / $0.14 / $0.22