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Wisconsin 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
$10.35 / $10.35 / $10.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $10.35 / $13.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.82 / $17.82 / $29.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $17.82 / $20.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.82 / $38.15 / $38.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.76 / $55.81 / $74.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $25.78 / $33.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $14.49 / $17.82
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $17.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.10 / $14.69 / $18.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $10.08 / $22.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.96 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $14.69 / $17.82
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.19 / $10.19 / $17.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $26.75 / $45.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.82 / $36.19 / $83.77
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $78.34 / $88.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $17.82 / $17.82
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $17.82 / $17.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.22 / $8.89 / $14.82