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New York rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.79 / $2.52 / $4.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.47 / $3.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $3.91 / $7.18
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.19 / $3.43 / $3.43
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.43 / $3.43 / $3.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.11 / $7.52 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $5.56 / $8.92
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.21 / $2.21 / $2.96
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.96 / $2.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $7.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.37 / $2.15 / $4.11
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.96 / $2.96 / $3.37
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.21 / $2.96 / $2.96