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Montana rates for HCPCS A4402

Lubricant, per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $0.66 / $6.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.18 / $2.18 / $2.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.34 / $2.34 / $2.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.34 / $2.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.09 / $2.23 / $2.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.53 / $1.76 / $2.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.95 / $1.12