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Ohio rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.22 / $2.22 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.22 / $3.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.08 / $4.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.49 / $4.54 / $5.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.84 / $4.54 / $7.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.38 / $2.97 / $3.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.75 / $2.42