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Michigan 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
$5.67 / $5.67 / $5.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.36 / $5.67 / $5.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.80 / $22.44 / $42.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.07 / $7.74 / $10.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $10.78
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.36 / $5.36 / $6.16
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.16 / $5.36 / $8.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $4.94 / $7.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.49 / $5.41