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California rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.10 / $1.26 / $10.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.79 / $10.10
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.49 / $3.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $1.62 / $2.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.83 / $1.87 / $7.18
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.66 / $5.14 / $7.37
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $8.85 / $13.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.84 / $4.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $4.36 / $8.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $20.34 / $30.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $3.49 / $4.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $4.01
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.60 / $6.60 / $6.60
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.34 / $2.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.75 / $4.68