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Washington, DC rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.78 / $2.78 / $2.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.45 / $2.78 / $2.78
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $2.77 / $2.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.90 / $8.15 / $8.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $2.04 / $4.05