go back

Arizona rates for HCPCS A4402

Lubricant, per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $1.34 / $1.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $2.14 / $3.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $1.96 / $2.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $1.34 / $1.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $1.60 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.76 / $0.95 / $1.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.95 / $1.43