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Texas rates for HCPCS A4257

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

Facilitymedian $16 · 10th–90th $10$330%10%10th90th$16Professionalmedian $11 · 10th–90th $7$150%20%10th90th$11$0.2$1.0$5.0$20.0$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
$8.91 / $10.96 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $10.96 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $22.91 / $50.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $9.55
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $134.90 / $134.90
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $16.22 / $26.30
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.75 / $17.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $27.54 / $35.48
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $15.49 / $26.30
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $7.24 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.13 / $10.96
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $18.20 / $18.20