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See a sample rate comparisonHCPCS A4280 Fee Schedule
HCPCS A4280 is classified under Medical And Surgical Supplies, in the Other Supplies Including Diabetes Supplies and Contraceptives subgroup.
Adhesive skin support attachment for use with external breast prosthesis, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Other Supplies Including Diabetes Supplies and Contraceptives |
| Complexity Level | Low |
| Medicaid Fee Schedule | $6.52 median of the 7 states in the free preview · View Medicaid rates for A4280 |
National average reimbursement for HCPCS A4280 by major payers:
$6.15
BCBS / Anthem
$4.04
UnitedHealthcare
$5.12
Aetna
$5.74
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4280.
HCPCS A4280
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$13.95Published ratePhoenix Vamc
$5.10Published rateNavicent Health Oconee, LLC, Navicent Health Baldwin
Navicent Health Oconee LLC
$3.36Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$3.24Published rateChristopher Raio
St Joseph Hospital
$2.21Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS A4280 vs. Other Other Supplies Including Diabetes Supplies and Contraceptives Codes
The table lists codes related to A4280. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4270-HCPCS | Low | Disposable endoscope sheath, each |
| A4280-HCPCS | Low | Adhesive skin support attachment for use with external breast prosthesis, each |
| A4281-HCPCS | Low | Tubing for breast pump, replacement |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4280. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4280 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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