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Rhode Island rates for HCPCS A4280

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

Facilitymedian $15 · 10th–90th $11–$180%10%20%10th90th$15Professionalmedian $4 · 10th–90th $3–$50%20%10th90th$4$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
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $5.01
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $15.14 / $17.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.24 / $4.27 / $7.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $4.07 / $6.61