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Oklahoma rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $77.28 / $141.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.19 / $2.42 / $2.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.60 / $3.60 / $3.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.41 / $2.70 / $7.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $2.34 / $20.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.86 / $2.49