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Minnesota rates for HCPCS A4364

Adhesive Liquid Or Equal Any Type Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $2.62 / $2.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.96 / $2.62 / $3.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $4.38 / $6.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.29 / $3.90 / $4.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.16 / $12.41 / $28.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.92 / $5.28 / $6.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.01 / $11.38 / $27.15
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.80 / $4.88 / $4.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $4.11 / $5.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.75 / $7.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.75 / $4.13