go back

Florida 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
$22.61 / $90.47 / $853.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.49 / $24.24 / $39.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.59 / $39.59 / $47.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $35.00 / $73.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $25.55 / $35.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.75 / $32.22 / $32.50
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.17 / $32.50 / $52.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.22 / $28.04 / $30.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.86 / $26.33 / $35.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.04 / $28.04 / $29.62