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North Carolina 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
$39.29 / $138.55 / $138.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.99 / $39.29 / $39.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.59 / $39.59 / $39.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.35 / $50.82 / $96.42
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.75 / $39.59 / $42.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $35.00 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.55 / $35.00 / $59.25
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $39.29 / $59.46
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $39.68
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.10 / $53.10 / $81.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.23 / $26.33 / $39.64
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.62 / $277.54 / $277.54
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.52 / $322.52 / $331.65