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Oregon rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $7.24 / $151.36
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.63 / $3.09 / $4.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.24 / $4.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.39 / $3.72 / $4.07
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.80 / $4.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $3.55 / $5.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $3.89 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $4.57 / $4.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.74 / $2.88