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Pennsylvania rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Facilitymedian $3 · 10th–90th $2$4,7860%10%20%10th90th$3Professionalmedian $2 · 10th–90th $1$30%50%10th90th$2$1.0$10.0$100.0$1.0K$10.0K

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
$2.00 / $3.24 / $4,786.30
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $426.58 / $562.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $4.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $6.03 / $9.12
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $4.17
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $2.51 / $4.17
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $18.20 / $128.82
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $213.80 / $562.34
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.00 / $2.00 / $3.24
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $5.62 / $8.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.15 / $2.95 / $194.98
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $3.80 / $66.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.04 / $3.72