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Kansas rates for HCPCS A4402

Lubricant, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.37 / $2.37 / $2.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.61 / $1.13 / $2.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.96 / $2.12 / $2.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.09 / $2.09 / $2.09
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 / $1.34 / $3.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $1.85 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.07 / $2.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.97 / $1.53