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Washington, DC 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
$12.05 / $12.05 / $12.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $12.05 / $12.05
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $9.94 / $9.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $35.39 / $35.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $8.89 / $15.62