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Iowa rates for HCPCS L8001

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

Facilitymedian $148 · 10th–90th $98$4070%20%10th90th$148Professionalmedian $85 · 10th–90th $65$1510%20%40%10th90th$85$0.1$0.5$2.0$10.0$50.0$200.0

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$77.62
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$173.78
Typical High
$218.78
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$151.36
Typical High
$154.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$194.98
Typical High
$707.95
Medica
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$102.33
Typical High
$251.19
Midlands
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$173.78
Typical High
$204.17
Midlands
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Midlands
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$251.19
Typical High
$251.19
United
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$154.88
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$81.28
Typical High
$144.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$147.91
Typical High
$147.91