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Utah 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
$2.15 / $2.15 / $2.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $4.34 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.83 / $6.09 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.15 / $5.24 / $5.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.61 / $3.33 / $5.55