go back

Michigan rates for HCPCS A4332

Lubricant, individual sterile packet, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $16.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.12 / $0.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.20 / $0.45 / $1.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.08 / $0.42
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.12 / $0.12 / $16.84
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.12 / $0.12 / $0.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.13 / $75.00 / $100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.12