go back

Ohio 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
$11.32 / $11.32 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $11.32 / $14.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.65 / $9.18 / $23.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.82 / $21.40 / $26.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.61 / $23.18 / $38.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.92 / $8.81 / $11.32