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Massachusetts rates for HCPCS A4402

Lubricant, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.83 / $0.83 / $0.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.62 / $0.83 / $1.62
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.30 / $4.24 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.30 / $1.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.22 / $1.22 / $3.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.20 / $1.35 / $1.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.34 / $1.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.13 / $2.63
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.55 / $1.63
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.43 / $0.43 / $0.43
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.27 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $0.95 / $1.85
Tufts
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.22 / $1.22 / $1.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.02 / $1.85