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Minnesota 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
$11.37 / $11.37 / $11.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $11.37 / $14.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.27 / $17.82 / $28.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.26 / $16.94 / $17.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.64 / $54.83 / $127.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.83 / $23.11 / $26.19
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.97 / $50.25 / $119.91
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.63 / $20.63 / $21.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.75 / $17.82 / $25.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $8.44 / $32.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $8.44 / $26.93