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South Carolina 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
$14.25 / $14.25 / $14.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $14.25 / $15.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.43 / $17.82 / $24.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.00 / $13.00 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.43 / $15.68 / $31.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.00 / $11.00 / $11.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $8.50 / $10.71