go back

Louisiana rates for HCPCS L8001

Breast Prosthesis Mastectomy Bra With Integratedbreast Prosthesis Form Unilateral Any Size Any Type (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.27 / $87.33 / $124.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.65 / $87.33 / $126.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.49 / $226.35 / $318.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.35 / $108.08 / $108.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $98.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.99 / $75.94 / $119.14