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Illinois rates for HCPCS A4402

Lubricant, per oz

Facilitymedian $2 · 10th–90th $1–$110%20%10th90th$2Professionalmedian $1 · 10th–90th $1–$20%20%40%10th90th$1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.23 / $1.78 / $2.24
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.16 / $5.37 / $16.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.26 / $1.45 / $1.45
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.35 / $2.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $2.63
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.63 / $5.37
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $2.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.65 / $0.87 / $1.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.79 / $0.95 / $1.66