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Delaware rates for HCPCS A4402

Lubricant, per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.19 / $1.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $0.72 / $1.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.13 / $1.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.01 / $1.47