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West 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
$3.99 / $3.99 / $3.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.99 / $4.48 / $4.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.18 / $10.86 / $12.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.71 / $8.94 / $16.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.75 / $8.75 / $8.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.04 / $3.04 / $35.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.39 / $3.61 / $7.24