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Utah rates for HCPCS A4402

Lubricant, per oz

Facilitymedian $1 · 10th–90th $1–$10%20%40%10th90th$1Professionalmedian $2 · 10th–90th $1–$100%20%10th90th$2$1.0$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.23 / $9.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $1.35 / $1.35
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.51
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.15 / $1.62 / $2.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $1.58 / $2.51
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.24 / $2.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.70 / $2.29 / $2.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.76 / $0.85 / $0.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $0.95 / $1.70