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Florida rates for HCPCS A4257

Replacement lens shield cartridge for use with laser skin piercing device, each

Facilitymedian $12 · 10th–90th $8–$130%20%10th90th$12Professionalmedian $11 · 10th–90th $7–$150%10%20%10th90th$11$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $12.02 / $15.14
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.49 / $18.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $10.96 / $13.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.24 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $8.71 / $10.96
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $18.20