Lubricant, per ounce

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Generation details were not recorded for this description.

Original text from hospital filings

Hc (Sup Shell A4402) Lubricant Per Ounce

Payers reporting HCPCS A4402

Payer pricing summary

Low

Average

Median

High

$18

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +13 other terms	301	$2	$3	$4	110%	—	$1 – $18
2	UnitedHealthcare fee schedule · outpatient · +17 other terms	290	$2	$2	$0	19%	—	$0 – $5
3	Aetna fee schedule · outpatient · +15 other terms	267	$2	$2	$2	86%	—	$1 – $32
4	WellCare fee schedule · outpatient · +6 other terms	185	$2	$2	$0	14%	—	$2 – $4
5	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	183	$2	$3	$1	50%	—	$0 – $9
6	Devoted fee schedule · outpatient · +4 other terms	163	$2	$2	$0	5%	—	$2 – $2
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$2	$2	$0	4%	—	$2 – $2
8	Molina fee schedule · outpatient · +8 other terms	97	$3	$3	$1	39%	—	$2 – $6
9	Cigna fee schedule · outpatient · +12 other terms	77	$2	$2	$1	24%	—	$2 – $6
10	Anthem fee schedule · outpatient · +9 other terms	74	$2	$2	$0	10%	—	$2 – $4
11	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$2	$2	$0	0%	—	$2 – $2
12	Kaiser fee schedule · outpatient · +4 other terms	39	$2	$2	$0	2%	—	$2 – $2
13	Clover fee schedule · outpatient · +1 other terms	37	$2	$2	$0	9%	—	$2 – $2
14	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$2	$2	$1	29%	—	$2 – $8
15	Optum fee schedule · outpatient · +2 other terms	25	$2	$3	$1	45%	—	$2 – $6
16	Oscar fee schedule · outpatient · +2 other terms	24	$2	$2	$0	2%	—	$2 – $2
17	Caresource facility · case rate · outpatient · +5 other terms	20	$15	$13	$7	53%	—	$2 – $27
18	Medicare fee schedule · outpatient · +1 other terms	18	$2	$2	$0	0%	—	$2 – $2
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$2	$2	$0	4%	—	$2 – $2
20	Aetna Better Health fee schedule · outpatient · +4 other terms	13	$1	$1	$1	38%	—	$1 – $2
21	Wellmark fee schedule · both · +1 other terms	13	$2	$2	$0	5%	—	$1 – $2
22	Ambetter case rate · outpatient · +7 other terms	12	$3	$3	$0	10%	—	$3 – $4
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$2	$1	$1	57%	—	$0 – $2
24	Bcbs Nj fee schedule · outpatient	12	$2	$3	$3	78%	—	$2 – $9
25	Highmark fee schedule · outpatient · +5 other terms	12	$2	$2	$1	36%	—	$1 – $5

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