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Alaska rates for HCPCS A4257

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

Facilitymedian $17 · 10th–90th $10$240%20%10th90th$17Professionalmedian $11 · 10th–90th $5$240%20%10th90th$11$5.0$20.0$100.0$500.0$2.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.00 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $17.38 / $20.42
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $17.38 / $54.95
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $17.38 / $17.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $17.38 / $23.99
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $17.38 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.33 / $22.39