Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $77.62 / $186.21
Facility
$64.57
$77.62
$186.21
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $77.62 / $125.89
Professional
$64.57
$77.62
$125.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $104.71 / $309.03
Facility
$75.86
$104.71
$309.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $102.33 / $194.98
Professional
$79.43
$102.33
$194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97.72 / $97.72 / $575.44
Facility
$97.72
$97.72
$575.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $218.78
Professional
$72.44
$72.44
$218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $120.23 / $181.97
Facility
$77.62
$120.23
$181.97
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $75.86 / $131.83
Professional
$56.23
$75.86
$131.83
See more rates by state
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