go back

New Hampshire rates for HCPCS A4402

Lubricant, per oz

Facilitymedian $1 · 10th–90th $1–$10%20%40%90th$1Professionalmedian $2 · 10th–90th $1–$20%20%10th90th$2$0.5$1.0$2.0$5.0$10.0

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
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.35 / $1.51
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.66 / $1.66 / $3.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.58 / $0.76 / $0.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.72 / $1.20 / $1.66
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.51