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Wyoming rates for HCPCS A4257

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.10 / $12.96 / $15.61
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.41 / $17.41 / $17.41
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.41 / $17.41 / $17.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $7.28 / $14.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.83 / $7.56 / $7.56