go back

West Virginia rates for HCPCS A4364

Adhesive Liquid Or Equal Any Type Per Oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $1.93 / $1.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.93 / $2.22 / $2.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.84 / $5.24 / $6.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.27 / $4.93 / $8.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $4.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $19.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.04 / $3.79