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Alaska rates for HCPCS A4280

Adhesive skin support attachment for use with external breast prosthesis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.96 / $6.96 / $6.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.32 / $6.96 / $9.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $6.94 / $21.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.14 / $7.14 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.23 / $7.14 / $7.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.38 / $6.96 / $9.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.12 / $6.08 / $8.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.82 / $18.23