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New Jersey rates for HCPCS A4280

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

Facilitymedian $3 · 10th–90th $3–$30%50%$3Professionalmedian $4 · 10th–90th $3–$60%20%10th90th$4$2.0$5.0$10.0$20.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $9.12 / $13.18
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $4.90 / $4.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $2.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.98 / $7.59