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North Carolina rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.06 / $3.06 / $3.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $3.06 / $3.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $4.63 / $5.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.43 / $2.62 / $2.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.62 / $3.06 / $5.12
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.62 / $7.05
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $5.60 / $8.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $1.74 / $2.68
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $80.00 / $85.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $20.34 / $30.83