go back

New York 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
$3.22 / $4.44 / $7.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.44 / $6.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $11.84
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.72 / $6.15 / $6.15
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $6.15 / $6.15
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
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.37 / $13.49 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $9.98 / $15.99
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.26 / $4.26
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.55 / $6.15
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $8.75 / $597.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $12.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.46 / $4.42 / $8.03
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.26 / $4.26 / $4.94
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.26 / $4.26 / $4.55