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Idaho 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
$7.76 / $13.07 / $24.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.10 / $15.30 / $25.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.94 / $16.94 / $17.82
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $31.20 / $34.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.61 / $17.41 / $17.41
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $12.48 / $18.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $7.56 / $12.34