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North Dakota rates for HCPCS A4257

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

Facilitymedian $12 · 10th–90th $11$270%20%10th90th$12Professionalmedian $12 · 10th–90th $7$210%20%10th90th$12$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
$10.96 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.00 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $19.50 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.89 / $26.30
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.48 / $17.78 / $32.36
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.41 / $19.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.89 / $7.59 / $20.42