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Oklahoma 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
$4.45 / $4.45 / $5.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.93 / $4.41 / $4.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.38 / $4.91 / $11.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.54 / $4.76 / $37.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.22 / $3.55 / $4.76