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New Hampshire 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
$4.00 / $4.00 / $4.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $4.00 / $4.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $3.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $8.75 / $8.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.21 / $6.21 / $9.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $3.80 / $5.45
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.52 / $7.03