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Colorado rates for HCPCS L8001

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.54 / $76.54 / $76.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.42 / $76.54 / $114.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.08 / $172.00 / $312.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.55 / $101.55 / $105.25
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 / $71.65 / $161.22
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.56 / $76.54 / $191.35
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.56 / $43.56 / $43.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.75 / $191.35 / $303.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $67.48 / $107.46