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Missouri 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 / $2.86 / $4.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.19 / $4.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $2.15 / $3.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $4.11 / $9.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $2.04 / $20.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $2.04 / $2.93