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Missouri rates for HCPCS A4280

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

Facilitymedian $7 · 10th–90th $3–$150%20%10th90th$7Professionalmedian $4 · 10th–90th $3–$70%10%20%10th90th$4$1.0$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
$3.02 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $7.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.80 / $6.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.47 / $4.47 / $7.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $7.41 / $19.95
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $3.72 / $37.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $5.01 / $7.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $3.55 / $5.37