go back

Alaska rates for HCPCS L8001

Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.43 / $129.43 / $129.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.15 / $98.15 / $98.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.65 / $98.15 / $104.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.56 / $43.56 / $43.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.41 / $140.41 / $221.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.56 / $43.56 / $98.15
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.65 / $104.64 / $145.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.44 / $73.73 / $141.34