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Iowa 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
$10.23 / $14.93 / $51.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $20.63 / $25.78
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $19.64 / $32.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.17 / $19.02 / $23.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.72 / $11.38 / $46.05
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.75 / $19.61 / $25.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.80 / $20.39 / $29.30
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.20 / $26.80 / $35.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.52 / $8.89 / $15.26
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.82 / $17.82 / $17.82
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.09 / $17.82 / $17.82