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Kansas rates for HCPCS L8000

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

Facilitymedian $43 · 10th–90th $14–$5130%20%40%10th90th$43Professionalmedian $39 · 10th–90th $19–$470%20%40%10th90th$39$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $234.42 / $512.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $39.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $36.31
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $44.67 / $44.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $58.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $33.88 / $117.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $25.70 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $39.81 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $23.44 / $38.90