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Minnesota rates for HCPCS L8000

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

Facilitymedian $60 · 10th–90th $42–$3720%20%10th90th$60Professionalmedian $51 · 10th–90th $24–$590%50%10th90th$51$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
$41.69 / $41.69 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $30.20 / $41.69
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $51.29 / $66.07
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $51.29 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $190.55 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $67.61 / $75.86
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $190.55 / $371.54
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $51.29 / $229.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $25.70 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.35 / $28.84 / $70.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $26.30 / $70.79