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Oklahoma rates for HCPCS L8000

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

Facilitymedian $28 · 10th–90th $19–$790%20%10th90th$28Professionalmedian $25 · 10th–90th $19–$400%10%10th90th$25$10.0$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
$19.05 / $19.05 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $22.91 / $35.48
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $34.67
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $34.67 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $53.70
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $28.84 / $138.04
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $23.44 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $33.11 / $50.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $21.38 / $31.62