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See a sample rate comparisonHCPCS A4257 Fee Schedule
HCPCS A4257 is classified under Medical And Surgical Supplies, in the Other Supplies Including Diabetes Supplies and Contraceptives subgroup.
Replacement lens shield cartridge for use with laser skin piercing device, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Other Supplies Including Diabetes Supplies and Contraceptives |
| Complexity Level | Low |
| Medicaid Fee Schedule | $16.535 median of the 6 states in the free preview · View Medicaid rates for A4257 |
National average reimbursement for HCPCS A4257 by major payers:
$15.49
BCBS / Anthem
$9.49
UnitedHealthcare
$12.23
Aetna
$13.88
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4257.
HCPCS A4257
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$32.60Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$20.12Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$8.89Published rateHouston Hospitals Inc, Houston Medical Center
Houston Hospitals Inc
$8.28Published rateBorbas Surgical Supply, Inc
Borbas Surgical Supply Inc
$5.69Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4257 vs. Other Other Supplies Including Diabetes Supplies and Contraceptives Codes
The table lists codes related to A4257. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4256-HCPCS | Low | Normal, low and high calibrator solution / chips |
| A4257-HCPCS | Low | Replacement lens shield cartridge for use with laser skin piercing device, each |
| A4258-HCPCS | Low | Spring-powered device for lancet, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4257. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4257 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
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