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North Dakota 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
$12.97 / $12.97 / $12.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.16 / $11.37 / $12.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.30 / $19.71 / $21.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.13 / $31.13 / $35.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.63 / $20.83 / $25.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.97 / $17.82 / $32.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.10 / $7.56 / $17.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $7.10 / $14.20