go back

Washington rates for HCPCS A4456

Adhesive Remover Wipes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.19 / $0.43 / $0.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.11 / $0.19 / $0.45
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $24.00 / $34.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $25.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.17 / $0.17 / $0.17
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.34 / $0.70 / $0.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.70 / $0.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $50.00 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.33 / $0.39
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.30 / $0.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.33 / $0.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.28 / $0.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.17 / $0.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.14 / $0.28