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Kansas 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
$36.47 / $36.51 / $237.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $25.42 / $40.65
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.56 / $36.40 / $36.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.63 / $44.63 / $44.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $35.00 / $74.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $39.00 / $230.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.58 / $25.95 / $52.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $24.22 / $39.29