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Connecticut 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
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $10.96 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $7.59 / $12.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $27.54 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.76 / $8.91 / $13.49