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Texas 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
$8.90 / $11.71 / $12.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $11.71 / $15.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.36 / $21.93 / $51.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $9.52 / $9.52
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $20.89 / $20.89
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.71 / $13.95 / $22.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $16.94 / $17.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $25.40 / $35.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.86 / $14.03 / $22.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $14.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.30 / $8.22 / $10.84
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $17.82 / $24.07