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Nationwide rates for HCPCS A4402

Lubricant Per Ounce (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.42 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $1.26 / $1.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.11 / $2.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.12 / $1.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.34 / $1.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.97 / $1.54