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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
$1.58 / $2.00 / $2.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $1.86 / $3.89
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $4.57 / $6.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.51 / $2.51 / $3.72
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $3.31 / $5.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $2.69 / $2.75
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.95 / $3.63 / $64.57
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $3.63 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.04 / $3.09