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Hawaii rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.26 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $3.61 / $3.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $3.43 / $3.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $4.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $3.25 / $4.08
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $2.73 / $3.12