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Wisconsin rates for HCPCS A4402

Lubricant, per oz

Facilitymedian $2 · 10th–90th $2$40%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1$30%20%40%10th90th$1$0.2$1.0$5.0$20.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $3.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.09 / $2.09 / $2.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $7.41 / $11.75
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $3.31 / $4.27
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.10 / $1.91 / $2.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.04 / $3.63 / $4.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.17 / $2.24 / $79.43
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.95 / $1.12 / $2.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.62 / $2.57 / $4.47
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $3.39 / $6.31
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.35 / $4.57 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $2.29 / $23.44
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.29 / $2.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.72 / $1.00 / $1.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.74 / $1.12 / $1.82