Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $91.20 / $549.54
Facility
$23.99
$91.20
$549.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $48.98
Professional
$19.05
$25.12
$48.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $33.88 / $117.49
Facility
$24.55
$33.88
$117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $40.74 / $64.57
Professional
$26.30
$40.74
$64.57
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $34.67 / $190.55
Facility
$30.20
$34.67
$190.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $74.13
Professional
$25.70
$25.70
$74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $60.26
Facility
$23.99
$33.88
$60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $42.66
Professional
$18.20
$25.70
$42.66
See more rates by state
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