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Pennsylvania rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.52 / $442.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.52 / $3.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $4.11 / $4.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.51 / $5.56 / $6.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.78 / $17.70 / $130.65
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.02 / $2.52 / $4,784.52
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.52 / $3.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $5.90 / $8.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.93 / $3.91 / $3.91
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.93 / $3.91 / $3.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.56 / $2.04 / $4.26