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New York 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
$7.76 / $10.93 / $18.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $10.93 / $16.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $28.45
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.81 / $14.85 / $14.85
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.85 / $14.85 / $14.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.82 / $32.63 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.72 / $24.14 / $38.69
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.30
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.95 / $14.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $30.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $10.07 / $21.40
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.30 / $10.30 / $12.75
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $10.95