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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
$7.94 / $12.02 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.02 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $10.96 / $13.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.24 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.92 / $8.71 / $10.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $18.20