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Minnesota rates for HCPCS A4257

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

Facilitymedian $28 · 10th–90th $17–$1290%20%10th90th$28Professionalmedian $18 · 10th–90th $10–$190%20%40%10th90th$18$5.0$10.0$20.0$50.0$100.0

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
$10.96 / $10.96 / $10.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.78 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.78 / $17.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $57.54 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $22.91 / $26.30
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $61.66 / $128.82
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $21.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $17.78 / $25.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.59 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.51 / $23.99