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Washington rates for HCPCS A4257

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

Facilitymedian $19 · 10th–90th $10$350%10%10th90th$19Professionalmedian $12 · 10th–90th $7$240%10%20%10th90th$12$5.0$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
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.96 / $15.85
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $17.38 / $17.38
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $19.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.41
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $22.39 / $34.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $22.91 / $37.15
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.11 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.78
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $31.62 / $45.71
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $17.38
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $15.49 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $5.89 / $14.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $7.59 / $14.45
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $27.54