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North Carolina rates for HCPCS L8000

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

Facilitymedian $63 · 10th–90th $27$1380%10%10th90th$63Professionalmedian $36 · 10th–90th $21$430%20%10th90th$36$0.1$0.5$5.0$50.0$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
$38.90 / $123.03 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $30.20 / $41.69
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $37.15 / $40.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $40.74 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $37.15
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $22.39 / $29.51
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $41.69 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $33.11 / $42.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $26.30 / $38.90
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $331.13