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Washington 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
$4.09 / $9.31 / $9.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.40 / $4.09 / $9.72
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.34 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $6.34 / $54.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $3.04
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.55 / $8.17 / $14.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.65 / $8.65 / $15.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $7.07 / $7.92
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $7.24 / $7.49
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.01 / $6.34 / $11.72
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $7.07 / $8.13
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.84 / $6.15 / $7.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.13 / $3.69 / $6.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.25 / $3.25 / $6.15