go back

New Hampshire rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Facilitymedian $3 · 10th–90th $2–$160%20%40%10th90th$3Professionalmedian $2 · 10th–90th $2–$40%20%10th90th$2$1.0$2.0$5.0$10.0

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
$2.14 / $2.14 / $2.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.86 / $1.86 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.29
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $5.75
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $3.31 / $3.55
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $16.22 / $17.78