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New Mexico 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
$5.43 / $5.43 / $5.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.29 / $4.91 / $5.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $8.57 / $12.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.34 / $5.48 / $6.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.43 / $8.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.07 / $3.33 / $5.01