HCPCS A4364

Adhesive, liquid or equal, any type, per oz

Current code3 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.

Prices for HCPCS A4364 by hospital
Hospital	Commercial insurance rates (lowest – highest)	Cash price	List price (before discounts)
Olympic Medical CenterPort AngelesFile dated 2026-06-24	$171 – $3066 plans	$245	$306
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01	$7.622 plans	—	—
PeaceHealth Southwest Medical CenteVancouver	$4.01 – $4.932 plans	$98.60	$152

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington: $3.89 (fee)