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Iowa rates for HCPCS A4257

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

Facilitymedian $15 · 10th–90th $12–$260%20%10th90th$15Professionalmedian $12 · 10th–90th $8–$240%10%20%10th90th$12$5.0$10.0$20.0$50.0$100.0$200.0

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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $12.02 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $20.89 / $26.30
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $23.99 / $32.36
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $19.05 / $32.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.96 / $37.15
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $20.42 / $23.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $29.51 / $38.90
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $25.12 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $14.79
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $17.78