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New Mexico rates for HCPCS A4257

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

Facilitymedian $15 · 10th–90th $11$240%10%10th90th$15Professionalmedian $11 · 10th–90th $7$150%20%10th90th$11$5.0$10.0$20.0$50.0

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
$12.02 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $21.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $23.99 / $39.81
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $15.14 / $24.55
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $19.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.59 / $11.48