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California rates for HCPCS A4280

Adhesive Skin Support Attachment For Use With External Breast Prosthesis Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $2.29 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.10 / $3.47 / $20.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.38 / $2.83 / $4.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $6.92
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.61 / $10.68 / $15.32
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $18.30 / $27.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $7.24 / $9.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $9.05 / $16.64
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.29 / $37.29 / $55.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.29 / $15.29 / $15.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.19 / $7.24 / $9.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $7.93
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.66 / $13.66 / $13.66
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.30 / $5.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.17 / $3.58 / $9.42