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Wyoming rates for HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.16 / $2.88 / $3.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $3.41 / $3.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.41 / $3.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $2.10 / $3.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $1.75 / $1.75