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Rhode Island rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.67 / $1.67 / $1.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.67 / $1.76 / $2.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.70 / $8.08 / $9.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $2.12 / $3.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.34 / $2.00 / $3.35