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Oregon rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Facilitymedian $4 · 10th–90th $3–$40%20%40%10th90th$4Professionalmedian $2 · 10th–90th $1–$50%20%10th90th$2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $7.24 / $151.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.51 / $3.24 / $4.79
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.24 / $4.47
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.98 / $4.07
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.80 / $4.07
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $3.55 / $5.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $3.80 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.57 / $4.57 / $4.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.74 / $2.88