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Vermont rates for HCPCS A4257

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

Professionalmedian $11 · 10th–90th $7$160%20%10th90th$11$10.0$20.0$50.0

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
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $11.48 / $15.85
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $10.96 / $20.42