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Kansas 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
$19.69 / $19.69 / $19.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $10.70 / $19.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.37 / $14.20 / $15.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $14.10 / $14.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.88 / $15.40 / $26.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $8.89 / $88.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $8.89 / $12.75