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Louisiana 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
$10.23 / $12.60 / $12.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $12.60 / $14.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.18 / $11.05 / $11.05
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $8.46 / $12.69