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North Carolina rates for HCPCS A4402

Lubricant, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $1.66 / $2.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $1.66 / $1.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.90 / $1.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.75 / $2.52 / $3.46
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.43 / $1.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.34 / $1.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.34 / $2.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $1.66 / $2.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.43
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $2.29 / $3.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $0.94 / $1.37
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $23.63 / $23.63