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Texas rates for HCPCS A4402

Lubricant, per oz

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.11 / $1.44 / $1.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.95 / $1.46 / $1.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.09 / $1.56 / $1.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.28 / $2.08 / $6.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.07 / $1.19
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.78 / $3.12
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.23 / $5.39 / $5.39
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 / $1.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $80.00 / $80.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.09 / $23.63 / $23.63
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $1.64 / $2.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.90 / $2.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.61 / $1.60 / $2.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.13 / $1.13 / $1.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.79 / $1.03 / $1.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.20 / $2.23