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Pennsylvania 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
$3.55 / $3.55 / $5.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.44 / $5.97
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.00 / $57,255.43 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
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
Professional
Modifier
Low / Median / High Price
$7.74 / $9.98 / $10.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.55 / $3.55 / $5.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $4.44 / $6.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $10.50 / $14.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $8.75 / $8.75
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.18 / $6.89 / $6.89
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.18 / $6.89 / $7.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $3.68 / $6.02