go back

Alaska rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $2.93 / $2.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $2.93 / $4.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.86 / $3.90 / $12.33
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.01 / $3.01 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.20 / $3.01 / $3.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $2.93 / $4.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.83 / $4.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.49 / $1.54 / $7.75