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Hawaii rates for HCPCS A4257

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $5.46 / $13.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $19.61 / $19.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $18.67 / $18.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.96 / $24.96 / $24.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $16.67 / $22.23
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.36 / $14.85 / $16.97