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Missouri rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Facilitymedian $4 · 10th–90th $1–$90%20%10th90th$4Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$0.5$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.95 / $3.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.51 / $2.51 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $4.07 / $10.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $2.04 / $20.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.19 / $2.63 / $4.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.91 / $2.95