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Nebraska rates for HCPCS A4402

Lubricant, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $9.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.95 / $1.95 / $1.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.86 / $2.04 / $2.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.35 / $2.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $2.63 / $3.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.07 / $2.95 / $79.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.07 / $2.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.34 / $2.95 / $5.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.40 / $2.40 / $2.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.95 / $3.24 / $5.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.00 / $1.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.05 / $1.66