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Missouri rates for HCPCS A4257

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

Facilitymedian $17 · 10th–90th $7–$370%10%10th90th$17Professionalmedian $10 · 10th–90th $7–$170%20%10th90th$10$2.0$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
$7.08 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $16.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.71 / $16.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $18.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $17.78 / $48.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.91 / $89.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $11.48 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $8.51 / $13.49