go back

Indiana rates for HCPCS A4364

Adhesive Liquid Or Equal Any Type Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.99 / $2.99 / $3.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $2.42 / $2.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.87 / $1.87 / $3.61
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.87 / $2.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $4.54 / $5.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.66 / $4.19 / $5.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $3.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.75 / $2.59