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Indiana 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
$6.38 / $6.38 / $7.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.41 / $6.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.25 / $3.25 / $6.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.44 / $9.67 / $11.16
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.81 / $8.93 / $11.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $7.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.71 / $5.58