go back

Montana rates for HCPCS A4280

Adhesive skin support attachment for use with external breast prosthesis, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $4.34 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.31 / $7.31 / $7.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.86 / $7.86 / $7.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $7.86 / $7.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.60 / $6.89 / $7.86
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.90 / $5.90 / $8.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.33 / $3.81