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South Carolina 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
$5.97 / $5.97 / $5.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.97 / $6.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $7.35 / $10.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $4.17 / $8.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.98 / $6.67 / $12.76
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,000.00 / $3,000.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.55 / $4.48