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Idaho rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.85 / $73.36 / $75.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $3.02 / $5.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $3.81 / $6.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $4.11 / $4.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.37 / $7.19 / $8.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $4.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.75 / $5.14