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Virginia rates for HCPCS A4257

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

Facilitymedian $15 · 10th–90th $11–$320%20%10th90th$15Professionalmedian $10 · 10th–90th $6–$150%20%10th90th$10$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$10.96 / $12.02 / $12.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $6.46 / $13.49
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $19.95 / $31.62
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $19.05
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $14.79 / $22.91
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.77 / $11.75 / $11.75
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $16.22 / $100.00
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.22 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $10.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $8.91 / $14.79