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Adhesive Skin Support for External Breast Prosthesis

Iowa rates for HCPCS A4280

Adhesive skin support attachment for use with external breast prosthesis, each

Rates data updated July 2026.

Facilitymedian $6 · 10th–90th $5$130%20%40%10th90th$6Professionalmedian $6 · 10th–90th $4$320%20%10th90th$6$2.0$5.0$10.0$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$6.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.17
Typical High
$31.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$8.71
Typical High
$10.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$8.71
Typical High
$13.49
Medica
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$14.45
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.89
Typical High
$15.49
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$14.45
Typical High
$14.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
United
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$4.37
United
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.72
Typical High
$6.46
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.41
Typical High
$7.41