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Vermont rates for HCPCS L8001

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

Facilitymedian $98 · 10th–90th $89$1100%50%10th90th$98Professionalmedian $72 · 10th–90th $65$980%20%10th90th$72$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$72.44
Typical High
$93.33
BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$97.72
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$114.82
Typical High
$144.54
United
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$107.15
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$102.33
Typical High
$169.82