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Texas rates for HCPCS A4280

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

Facilitymedian $6 · 10th–90th $4$130%20%10th90th$6Professionalmedian $4 · 10th–90th $3$60%20%10th90th$4$0.1$0.5$2.0$10.0$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
$3.72 / $3.98 / $5.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $4.17 / $6.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.55 / $3.55 / $3.55
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.17 / $4.17 / $12.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $54.95 / $54.95
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $6.61 / $11.22
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.16 / $4.90 / $7.24
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $4.68 / $5.37
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $11.48 / $14.45
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.37 / $6.31 / $10.96
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $3.16 / $4.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.75 / $4.07 / $4.79
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $7.59 / $7.59