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Oklahoma rates for HCPCS A4257

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

Facilitymedian $11 · 10th–90th $10–$310%20%40%10th90th$11Professionalmedian $10 · 10th–90th $6–$150%10%20%10th90th$10$5.0$10.0$20.0$50.0$100.0

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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $13.18 / $36.31
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $8.71 / $23.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $7.59 / $10.96