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Minnesota 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
$4.75 / $4.75 / $4.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.75 / $6.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $7.68 / $11.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.95 / $7.07 / $7.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.13 / $22.76 / $52.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.59 / $10.95
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.85 / $20.86 / $49.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $8.63 / $8.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.96 / $7.44 / $10.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.71 / $14.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $3.33 / $7.48