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North Carolina 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
$15.61 / $15.61 / $19.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $15.61 / $15.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.30 / $17.16 / $32.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $13.37 / $14.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.39 / $15.61 / $25.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $13.39 / $30.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.40 / $24.20 / $35.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.79 / $8.89 / $13.95
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.19 / $84.69 / $85.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.79 / $88.79 / $133.72