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Louisiana 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
$4.28 / $5.28 / $5.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.28 / $6.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.50 / $11.11 / $15.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $4.63 / $4.63
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $4.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.54 / $5.12