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Florida 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
$8.02 / $10.05 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $11.47 / $14.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.01 / $10.70 / $15.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.92 / $31.92 / $31.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $8.71 / $10.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $6.50