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Kentucky rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.36 / $2.11 / $2.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $2.22 / $2.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.87 / $2.08
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.88 / $5.58 / $5.96
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $5.34 / $7.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $5.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.04 / $5.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $2.04 / $2.62