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Georgia 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
$7.94 / $11.22 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $14.79 / $22.39
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 / $19.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $18.20 / $36.31
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $8.51 / $14.79