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Tennessee rates for HCPCS A4402

Lubricant, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $0.98 / $1.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.83 / $1.22 / $1.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $1.71 / $1.71
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 / $1.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.04 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.09 / $23.63 / $23.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.63 / $0.88 / $1.35