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Washington rates for HCPCS A4280

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

Facilitymedian $7 · 10th–90th $5–$150%10%20%10th90th$7Professionalmedian $5 · 10th–90th $3–$100%20%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.98 / $6.03
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $8.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.02 / $3.02
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.57 / $9.77 / $16.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $10.23 / $16.60
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $30.20 / $75.86
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
$6.31 / $7.24 / $8.71
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $11.22 / $13.80
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $7.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $6.31 / $8.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.57 / $2.57 / $7.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.02 / $3.31 / $6.31
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $6.31 / $10.96