go back

Texas rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Facilitymedian $4 · 10th–90th $2$100%20%10th90th$4Professionalmedian $2 · 10th–90th $1$30%50%10th90th$2$0.1$0.2$1.0$5.0$20.0$100.0

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
$1.91 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $3.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.89 / $10.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $1.82 / $1.82
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.88
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $6.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.90 / $30.90
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.39 / $5.62
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.58 / $2.00 / $3.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $3.24
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $5.89 / $8.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.31 / $5.62
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $1.74 / $2.51
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.91 / $2.51
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.89 / $3.89