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Washington rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Facilitymedian $4 · 10th–90th $3$80%10%20%10th90th$4Professionalmedian $2 · 10th–90th $1$50%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
$2.00 / $2.00 / $5.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $2.00 / $3.02
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $4.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $5.89 / $8.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.89 / $6.17 / $8.71
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.24 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.98 / $4.07
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.80 / $4.17
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $5.89 / $7.24
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.16 / $3.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $3.31 / $4.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $3.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.51 / $1.74 / $3.31
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.31 / $5.89