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Oregon rates for HCPCS A4280

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

Facilitymedian $7 · 10th–90th $6–$70%50%10th90th$7Professionalmedian $5 · 10th–90th $3–$80%10%20%10th90th$5$2.0$10.0$50.0$200.0

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
$5.01 / $5.01 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $6.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $14.45 / $151.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $5.75 / $8.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.89 / $7.76
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.75 / $7.08 / $7.24
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.46 / $7.24 / $7.59
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $6.76 / $10.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $6.92 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.24 / $3.31 / $5.50