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Adhesive Skin Support for External Breast Prosthesis

Utah rates for HCPCS A4280

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

Rates data updated July 2026.

Facilitymedian $2 · 10th–90th $2$20%50%$2Professionalmedian $5 · 10th–90th $2$100%10%10th90th$5$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
$2.14
Median
$2.14
Typical High
$2.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$4.79
Typical High
$9.77
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.03
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.37
Typical High
$6.31
Select Health
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Select Health
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$7.59
Typical High
$7.94
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$7.59
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.31
Typical High
$5.01