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Louisiana rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $2.91 / $2.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.68 / $3.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.58 / $6.12 / $8.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.11 / $2.92 / $2.92
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.80 / $27.80 / $27.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $2.47 / $2.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.95 / $2.93