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Adhesive Skin Support for External Breast Prosthesis

Illinois rates for HCPCS A4280

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

Rates data updated July 2026.

Facilitymedian $9 · 10th–90th $4$440%20%40%10th90th$9Professionalmedian $5 · 10th–90th $3$70%10%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
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$7.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.68
Typical High
$6.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$16.98
Typical High
$64.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$5.75
Typical High
$5.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$4.27
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$10.23
Typical High
$18.20
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
United
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$7.24
Typical High
$7.59
United
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.72
Typical High
$6.17