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Delaware rates for HCPCS L8000

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.03 / $45.57 / $439.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.03 / $19.57 / $22.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $25.55 / $35.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.78 / $124.78 / $124.78
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.00 / $29.59 / $32.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.73 / $23.05 / $36.44