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South Carolina rates for HCPCS L8000

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

Facilitymedian $52 · 10th–90th $23–$2340%20%10th90th$52Professionalmedian $26 · 10th–90th $19–$410%10%20%10th90th$26$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
$22.91 / $234.42 / $234.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $38.90
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $51.29 / $72.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $53.70 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $34.67 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $58.88
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $26.30
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $39.81 / $93.33
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $33.11 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $26.30 / $36.31