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Louisiana rates for HCPCS A4402

Lubricant, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $1.58 / $1.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.58 / $1.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.95 / $3.33 / $4.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.58 / $1.58
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $5.39 / $5.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.34 / $1.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.13 / $1.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $1.03 / $1.58