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North Dakota rates for HCPCS L8001

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

Facilitymedian $112 · 10th–90th $112$2190%20%40%90th$112Professionalmedian $115 · 10th–90th $66$1780%10%10th90th$115$50.0$100.0$200.0$500.0

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
$112.20
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$81.28
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$186.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$97.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$173.78
Typical High
$218.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$66.07
Median
$125.89
Typical High
$331.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$218.78
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$102.33
Typical High
$177.83