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South Dakota rates for HCPCS A4280

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

Facilitymedian $7 · 10th–90th $4$110%20%10th90th$7Professionalmedian $5 · 10th–90th $4$100%20%10th90th$5$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. 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
$3.98 / $3.98 / $8.91
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $10.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $7.59 / $10.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $3.31 / $37.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.41 / $10.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $4.07 / $8.32
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $7.24 / $7.24