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Vermont rates for HCPCS L8000

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

Facilitymedian $30 · 10th–90th $16–$350%20%40%10th90th$30Professionalmedian $22 · 10th–90th $21–$340%50%10th90th$22$20.0$50.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $21.88 / $26.92
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $33.11 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $34.67
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $43.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $28.84 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $33.11 / $51.29