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Rhode Island rates for HCPCS L8001

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.58 / $81.23 / $87.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.96 / $282.27 / $334.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $96.53 / $133.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.89 / $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
$66.06 / $94.21 / $122.90