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Nationwide rates for HCPCS A4257

Replacement lens shield cartridge for use with laser skin piercing device, each

Facilitymedian $13 · 10th–90th $6$330%20%10th90th$13Professionalmedian $11 · 10th–90th $7$180%50%10th90th$11$0.0$0.5$10.0$200.0$5.0K$100.0K

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
$7.08 / $10.96 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.24 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $8.51 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $47.86 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $25.70
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $10.96 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.91 / $17.78