go back

Maryland rates for HCPCS L8000

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

Facilitymedian $72 · 10th–90th $35–$1450%10%20%10th90th$72Professionalmedian $24 · 10th–90th $19–$410%20%10th90th$24$20.0$50.0$100.0$200.0

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
$58.88 / $79.43 / $147.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $41.69
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $28.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $34.67 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $34.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $44.67 / $67.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $33.11 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $22.91 / $35.48
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $38.02