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Virginia rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.54 / $2.54 / $2.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.54 / $2.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $1.87 / $2.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.77 / $2.77 / $2.77
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.49 / $4.80 / $6.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.52 / $3.14 / $5.13
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.72 / $6.00 / $9.61
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.89 / $3.60 / $6.97
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $3.60 / $6.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.79 / $2.04 / $3.08