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Nationwide rates for HCPCS L8000

Breast Prosthesis Mastectomy Bra Without Integrated Breast Prosthesis Form Any Size Any Type (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.21 / $47.08 / $166.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $25.30 / $39.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.63 / $51.43 / $92.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.97 / $32.40 / $43.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $35.00 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $29.97 / $37.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $25.49 / $39.29