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Oklahoma 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
$10.61 / $10.61 / $12.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $10.52 / $10.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.46 / $11.71 / $28.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.77 / $10.19 / $88.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.04 / $8.28 / $10.84