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Massachusetts 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
$7.79 / $7.79 / $7.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $8.69 / $11.47
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.81 / $27.02 / $84.69
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $17.41 / $88.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $8.03
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.10 / $14.10 / $14.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $14.53 / $14.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.19 / $84.69 / $84.69
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $10.19 / $88.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.56 / $10.18 / $20.07