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Oklahoma rates for HCPCS A4280

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

Facilitymedian $5 · 10th–90th $4–$130%20%10th90th$5Professionalmedian $4 · 10th–90th $3–$60%10%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
$3.98 / $3.98 / $3.98
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
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $5.62 / $15.14
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.72 / $9.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.39 / $3.39 / $3.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.31 / $4.79