Adhesive remover solvent, per ounce

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Adhesive Remoover Spray 50ml (Esenta)

Payers reporting HCPCS A4455

Payer pricing summary

Low

Average

Median

High

$21

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +13 other terms	300	$2	$3	$3	101%	—	$1 – $13
2	UnitedHealthcare fee schedule · outpatient · +15 other terms	289	$2	$2	$0	14%	—	$1 – $2
3	Aetna fee schedule · outpatient · +13 other terms	266	$2	$2	$1	54%	—	$1 – $14
4	WellCare fee schedule · outpatient · +5 other terms	185	$2	$2	$0	21%	—	$2 – $4
5	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	182	$2	$2	$1	43%	—	$0 – $7
6	Devoted fee schedule · outpatient · +3 other terms	163	$2	$2	$0	6%	—	$2 – $2
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$2	$2	$0	6%	—	$2 – $2
8	Molina fee schedule · outpatient · +7 other terms	96	$3	$2	$1	38%	—	$1 – $5
9	Cigna fee schedule · outpatient · +10 other terms	77	$2	$2	$1	26%	—	$2 – $4
10	Anthem fee schedule · outpatient · +12 other terms	76	$2	$4	$8	175%	—	$2 – $31
11	Superior Healthplan fee schedule · outpatient	40	$2	$2	$0	1%	—	$2 – $2
12	Kaiser fee schedule · outpatient · +7 other terms	39	$2	$2	$0	2%	—	$2 – $2
13	Clover fee schedule · outpatient · +1 other terms	37	$2	$2	$0	5%	—	$2 – $2
14	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$2	$2	$0	29%	—	$1 – $6
15	Optum fee schedule · outpatient · +4 other terms	25	$2	$2	$1	36%	—	$2 – $4
16	Oscar fee schedule · outpatient · +3 other terms	24	$2	$2	$0	3%	—	$2 – $2
17	Caresource facility · case rate · outpatient · +5 other terms	20	$15	$13	$7	54%	—	$2 – $27
18	Ambetter facility · fee schedule · outpatient · +6 other terms	18	$3	$3	$0	11%	—	$3 – $4
19	Medicare fee schedule · outpatient	18	$2	$2	$0	7%	—	$2 – $2
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$2	$2	$0	2%	—	$2 – $2
21	Highmark facility · fee schedule · outpatient · +4 other terms	15	$4	$4	$2	48%	—	$2 – $8
22	Wellmark fee schedule · both · +1 other terms	13	$2	$2	$0	4%	—	$1 – $2
23	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$1	$1	$0	35%	—	$1 – $2
24	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$2	$1	$1	53%	—	$0 – $2
25	Bcbs Nj fee schedule · outpatient	12	$4	$5	$2	49%	—	$2 – $9

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