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Ohio 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
$4.73 / $4.73 / $14.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.73 / $5.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.92 / $9.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.44 / $8.94 / $11.05
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.18 / $9.67 / $15.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $8.75 / $8.75
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.61 / $4.73