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Maryland rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.97 / $72.28 / $97.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.89 / $2.78 / $4.11
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $2.77 / $2.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $5.22 / $6.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.04 / $3.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $3.49