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Illinois rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Facilitymedian $5 · 10th–90th $1–$350%10%20%10th90th$5Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.95 / $34.67
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.31
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $3.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.68 / $8.51 / $30.20
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.63 / $2.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.29
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $4.90 / $12.02
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $3.31 / $3.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $1.74 / $2.88