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Missouri rates for HCPCS L8000

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

Facilitymedian $40 · 10th–90th $26–$890%20%10th90th$40Professionalmedian $28 · 10th–90th $19–$650%20%10th90th$28$0.1$0.2$1.0$5.0$20.0$100.0

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
$21.88 / $38.02 / $89.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.70 / $123.03
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $38.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $173.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $32.36 / $45.71
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $34.67 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $34.67
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $38.90 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $24.55 / $316.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $39.81 / $39.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $23.99 / $37.15