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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
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.02 / $3.98 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.46 / $8.13 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.89 / $7.41 / $7.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.30 / $23.99 / $66.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.55 / $10.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.79 / $24.55 / $52.48
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $8.71 / $9.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $7.41 / $10.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $3.31 / $7.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.24 / $3.31 / $8.32