go back

Michigan rates for HCPCS A4280

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

Facilitymedian $14 · 10th–90th $5$350%20%10th90th$14Professionalmedian $4 · 10th–90th $3$70%20%10th90th$4$2.0$5.0$10.0$20.0$50.0

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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $22.39 / $42.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $7.41 / $7.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.27 / $6.17
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $6.17 / $15.49
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $5.89 / $9.12
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.27 / $4.27
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $4.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.47 / $5.25