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Indiana 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
$15.27 / $15.27 / $17.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.70 / $15.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.65 / $7.65 / $14.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $7.65 / $10.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.82 / $23.18 / $26.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.72 / $21.40 / $26.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $18.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $8.89 / $12.75