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Missouri 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
$7.64 / $12.43 / $17.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.64 / $10.01 / $18.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $9.44 / $16.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $7.28 / $7.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.50 / $17.82 / $39.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $8.89 / $88.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $8.89 / $13.39