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Texas rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.89 / $2.48 / $2.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.48 / $3.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $4.24 / $10.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.80 / $1.80
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.84 / $3.21 / $3.21
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.84 / $2.84 / $2.84
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.80 / $27.80 / $27.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.47 / $2.47 / $4.80
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.48 / $2.97 / $4.63
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.06 / $3.59 / $4.11
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.10 / $5.30 / $8.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.50 / $2.97 / $4.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.46 / $1.89 / $2.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $3.78 / $5.09