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Tennessee 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
$9.21 / $9.21 / $16.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $11.02 / $15.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.37 / $17.82 / $42.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $7.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.19 / $84.69 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.79 / $88.79 / $133.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.93 / $8.28 / $10.19