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Kentucky 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
$25.12 / $26.12 / $489.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.53 / $24.96 / $27.82
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $38.33 / $39.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.86 / $52.79 / $55.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.93 / $32.40 / $32.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.51 / $56.22 / $76.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.11 / $63.89 / $84.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $35.00 / $61.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $35.00 / $92.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.59 / $33.65 / $42.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.55 / $26.33 / $39.29