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Oregon rates for HCPCS A4364

Adhesive Liquid Or Equal Any Type Per Oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $2.78 / $10.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.41 / $7.89 / $9.27
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.71 / $6.80
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.08 / $3.90 / $4.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $3.68 / $4.11
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $3.81 / $4.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.87 / $6.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $3.60 / $4.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.29 / $4.51 / $4.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.61 / $1.75 / $3.32