go back

Wisconsin rates for HCPCS A4332

Lubricant Individual Sterile Packet Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.09 / $0.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $0.09 / $0.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.14 / $0.15 / $0.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $0.32 / $0.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $1.05 / $1.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.25 / $0.47
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.13 / $0.15
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.13 / $0.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.09 / $0.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.07 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.09 / $0.13 / $0.15
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.10 / $0.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.27 / $1.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.52 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.08 / $0.68 / $3.54
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.15 / $0.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.06 / $0.08 / $0.13