go back

Idaho 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
$3.22 / $5.31 / $9.83
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
$4.09 / $6.13 / $10.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.88 / $6.88 / $7.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.22 / $12.67 / $14.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $5.07 / $7.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.33 / $4.84