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Louisiana rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Facilitymedian $4 · 10th–90th $2–$100%20%40%10th90th$4Professionalmedian $2 · 10th–90th $1–$30%50%10th90th$2$1.0$2.0$5.0$10.0$20.0

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
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $2.88 / $2.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $6.17 / $8.51
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.58 / $1.58 / $1.58
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.91 / $2.51