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Virginia 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
$4.48 / $4.48 / $4.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.51 / $4.48 / $5.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $4.95
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.05 / $4.05
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.15 / $8.47 / $11.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.48 / $6.00 / $10.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $11.00 / $16.97
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.07 / $6.34 / $12.31
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.07 / $6.34 / $12.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.37 / $3.61 / $5.57