go back

New York rates for HCPCS A4280

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

Facilitymedian $6 · 10th–90th $3$140%20%10th90th$6Professionalmedian $4 · 10th–90th $3$100%10%20%10th90th$4$0.1$1.0$10.0$100.0$1.0K$10.0K

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 / $5.89 / $8.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $3.24 / $10.47
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $6.17 / $6.17
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.17 / $6.17 / $6.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $7.76
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $12.30 / $28.84
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.96 / $14.79
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.27
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.57 / $4.57
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.90 / $7.24 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $25.12 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $6.61 / $13.49
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.90
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.27 / $4.27 / $4.57