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Illinois rates for HCPCS A4364

Adhesive Liquid Or Equal Any Type Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $1.96 / $35.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.16 / $3.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $8.82 / $30.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.31 / $2.62 / $2.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.31
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.97 / $4.43 / $10.18
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.54 / $4.54 / $4.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $4.88 / $5.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.75 / $3.09