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Adhesive Skin Support for External Breast Prosthesis

Oklahoma rates for HCPCS A4280

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

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $4$130%20%40%10th90th$5Professionalmedian $4 · 10th–90th $2$70%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
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.47
Typical High
$4.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$4.37
Typical High
$5.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$5.62
Typical High
$15.14
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$3.72
Typical High
$9.77
United
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.39
United
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$3.31
Typical High
$4.79