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Connecticut rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $2.64 / $2.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.64 / $2.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $1.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $6.46 / $6.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.04 / $2.54