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Iowa rates for HCPCS A4280

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

Facilitymedian $6 · 10th–90th $5–$130%20%40%10th90th$6Professionalmedian $5 · 10th–90th $3–$90%20%10th90th$5$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $6.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.90 / $7.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $8.71 / $10.72
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.71 / $13.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $7.08 / $14.45
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $3.89 / $15.49
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $14.45 / $14.45
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $7.59
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.47 / $14.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $3.72 / $4.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.72 / $6.17
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24