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Kentucky rates for HCPCS A4257

Replacement lens shield cartridge for use with laser skin piercing device, each

Facilitymedian $18 · 10th–90th $9–$290%20%10th90th$18Professionalmedian $10 · 10th–90th $7–$150%10%20%10th90th$10$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.47 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.59 / $8.91
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $23.99 / $30.90
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.39 / $28.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.33 / $87.10
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $44.67 / $44.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.91 / $11.48