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Colorado 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
$7.08 / $13.49 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.96 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.59 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $28.84 / $41.69
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $7.59 / $11.48