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Tennessee rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.88 / $2.13 / $3.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.31 / $3.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $3.66 / $8.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $2.10
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $20.34 / $30.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.21 / $1.73 / $2.08