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Arizona rates for HCPCS A4257

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

Facilitymedian $15 · 10th–90th $10$350%10%20%10th90th$15Professionalmedian $11 · 10th–90th $7$190%10%20%10th90th$11$5.0$10.0$20.0$50.0$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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $21.88 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $16.22 / $36.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.59 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.59 / $11.48