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Arizona rates for HCPCS A4257

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $10.70 / $10.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.46 / $10.70 / $15.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $15.70 / $37.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.70 / $17.82 / $31.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $7.56 / $88.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $7.56 / $11.38