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Colorado 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
$48.83 / $75.81 / $286.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $22.58 / $33.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.16 / $50.74 / $92.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.40 / $32.40 / $35.00
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 / $25.55 / $51.95
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $23.71 / $56.45
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $14.11 / $14.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $56.45 / $89.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $21.86 / $36.44