go back

Illinois 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
$4.18 / $4.18 / $7.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.32 / $6.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.53 / $16.98 / $65.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.11 / $5.58 / $5.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.32 / $9.36 / $16.10
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.67 / $9.67 / $9.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $10.42 / $11.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.71 / $6.52