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Tennessee 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
$3.86 / $3.86 / $6.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.33 / $4.59 / $6.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $7.46 / $17.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.10 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.29 / $37.29 / $55.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $3.46 / $4.37