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Montana rates for HCPCS A4402

Lubricant, per oz

Facilitymedian $2 · 10th–90th $1–$30%20%10th90th$2Professionalmedian $2 · 10th–90th $1–$60%20%10th90th$2$1.0$2.0$5.0$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $9.77
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.19 / $2.19 / $2.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $2.34 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $2.34 / $2.34
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.74 / $2.19 / $4.27
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.19 / $4.27
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $2.04 / $2.69
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $2.34 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.85 / $0.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.85 / $0.95 / $1.29