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Rhode Island 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
$7.36 / $7.36 / $7.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.36 / $7.79 / $13.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.20 / $35.70 / $40.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $11.59 / $16.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.79 / $8.89 / $14.82