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Oklahoma rates for HCPCS A4402

Lubricant, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.15 / $1.15 / $1.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.66 / $1.13 / $1.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.29 / $1.95 / $1.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.70 / $1.70 / $1.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.70 / $1.70
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 / $1.13 / $1.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $1.22 / $80.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.95 / $1.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.93 / $1.36