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Vermont rates for HCPCS A4402

Lubricant, per oz

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $1.74 / $1.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.72 / $1.35 / $1.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.72 / $1.12 / $1.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.09 / $2.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.87 / $0.87 / $1.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.74 / $1.29 / $4.47