Adhesive attachment for external breast prosthesis

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Brst prsths adhsv attchmnt

Payers reporting HCPCS A4280

Payer pricing summary

Low

Average

$11

Median

High

$33

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	299	$8	$12	$12	105%	—	$3 – $59
2	UnitedHealthcare fee schedule · outpatient · +10 other terms	288	$8	$7	$1	15%	—	$3 – $9
3	Aetna fee schedule · outpatient · +8 other terms	265	$8	$8	$4	47%	—	$3 – $45
4	WellCare fee schedule · outpatient · +4 other terms	184	$8	$8	$1	16%	—	$7 – $15
5	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	173	$8	$9	$5	54%	—	$0 – $28
6	Devoted fee schedule · outpatient · +2 other terms	163	$8	$8	$0	2%	—	$7 – $9
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$8	$8	$0	4%	—	$8 – $9
8	Molina fee schedule · outpatient · +4 other terms	96	$10	$10	$4	39%	—	$6 – $20
9	Cigna fee schedule · outpatient · +7 other terms	77	$8	$8	$2	23%	—	$7 – $19
10	Anthem fee schedule · outpatient · +6 other terms	73	$7	$8	$1	10%	—	$7 – $12
11	Superior Healthplan fee schedule · outpatient	40	$8	$8	$0	1%	—	$7 – $8
12	Kaiser fee schedule · outpatient · +5 other terms	39	$7	$8	$0	4%	—	$7 – $9
13	Clover fee schedule · outpatient · +1 other terms	37	$8	$8	$0	5%	—	$7 – $9
14	Optum fee schedule · outpatient · +2 other terms	25	$7	$9	$4	42%	—	$7 – $19
15	Oscar fee schedule · outpatient · +3 other terms	24	$7	$8	$0	3%	—	$7 – $8
16	Caresource facility · case rate · outpatient · +7 other terms	20	$16	$16	$4	26%	—	$9 – $27
17	Ambetter facility · fee schedule · outpatient · +5 other terms	19	$11	$12	$1	12%	—	$11 – $14
18	Bcbs Tx fee schedule · outpatient	18	$7	$7	—	—	—	$7 – $7
19	Medicare fee schedule · outpatient	18	$7	$7	$0	1%	—	$7 – $7
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$9	$9	$0	2%	—	$9 – $9
21	Wellmark fee schedule · both · +1 other terms	13	$7	$7	$0	4%	—	$5 – $7
22	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$4	$5	$2	37%	—	$4 – $7
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$6	$4	$3	76%	—	$0 – $8
24	Bcbs Nj fee schedule · outpatient	12	$7	$16	$11	68%	—	$7 – $33
25	Highmark facility · fee schedule · outpatient · +4 other terms	12	$14	$13	$6	41%	—	$8 – $21

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