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Nebraska 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
$14.76 / $14.76 / $14.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.35 / $14.76 / $14.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.53 / $17.23 / $17.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.07 / $25.67 / $44.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $25.09 / $32.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.79 / $8.89 / $18.82
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $22.91 / $37.47
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $22.18 / $38.76
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $26.80 / $35.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.45 / $8.89 / $13.95