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Arizona rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.26 / $2.47 / $3.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $2.57 / $6.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.94 / $3.62 / $8.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $4.11 / $7.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.75 / $20.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.75 / $2.62