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Florida 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
$64.98 / $69.90 / $80.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.98 / $77.95 / $113.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.18 / $114.18 / $114.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.15 / $98.15 / $175.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.65 / $71.65 / $98.15
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.34 / $101.34 / $101.34
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.38 / $101.72 / $152.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.18 / $134.13 / $147.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.37 / $75.95 / $113.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $134.13 / $134.13