go back

North Carolina 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
$113.31 / $113.31 / $229.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.09 / $113.31 / $113.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.05 / $146.46 / $278.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.99 / $114.18 / $121.79
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 / $175.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.56 / $113.31 / $169.74
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $110.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.40 / $177.40 / $272.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.35 / $75.95 / $119.15
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.45 / $705.18 / $705.18
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.34 / $762.34 / $1,108.58