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Massachusetts rates for HCPCS A4364

Adhesive Liquid Or Equal Any Type Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.76 / $1.76 / $1.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.00 / $2.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.85 / $6.11 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $3.59 / $20.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.60 / $2.60 / $7.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $2.86 / $2.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.61
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.71 / $2.71 / $2.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.28 / $3.28 / $3.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.31 / $20.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $2.29 / $3.94