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Kentucky 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
$5.93 / $9.16 / $10.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $10.52 / $15.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.69 / $7.65 / $9.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.07 / $25.14 / $29.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $24.96 / $35.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $24.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.18 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $8.89 / $11.38