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Hawaii 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
$2.10 / $2.40 / $5.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $8.61 / $8.61
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.84 / $8.21 / $8.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.98 / $10.98 / $10.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $7.76 / $9.80
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $6.54 / $7.47