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West Virginia 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
$9.83 / $9.83 / $9.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.83 / $11.02 / $12.05
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.61 / $26.75 / $31.20
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.59 / $21.40 / $41.33
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 / $86.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $9.63 / $19.39