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Texas 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
$3.73 / $4.91 / $5.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.22 / $4.91 / $6.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.56 / $3.56 / $3.56
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.91 / $5.77 / $9.32
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $6.88 / $7.24
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.19 / $10.50 / $14.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.97 / $5.83 / $9.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $6.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $4.09 / $4.76
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $7.46 / $10.07