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New Jersey rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $2.00 / $2.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.32 / $5.38 / $7.19
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.74 / $2.74 / $2.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.75 / $2.04 / $2.63