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Mississippi rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.42 / $3.42 / $3.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $3.42 / $3.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.34 / $3.34 / $3.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.18 / $3.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.95 / $5.13