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Massachusetts 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
$3.33 / $3.33 / $3.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $3.61 / $4.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.25 / $11.30 / $80.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $7.44 / $37.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $4.80 / $14.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.49 / $4.99 / $4.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.44 / $7.44 / $7.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $4.05
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $4.07 / $4.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $6.21 / $6.21
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $80.00 / $80.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $4.25 / $37.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $4.07 / $8.61