Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $102.33 / $204.17
Facility
$83.18
$102.33
$204.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $102.33 / $165.96
Professional
$83.18
$102.33
$165.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $138.04 / $407.38
Facility
$100.00
$138.04
$407.38
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $120.23 / $251.19
Professional
$104.71
$120.23
$251.19
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $758.58
Facility
$120.23
$120.23
$758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $288.40
Professional
$87.10
$87.10
$288.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102.33 / $158.49 / $239.88
Facility
$102.33
$158.49
$239.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $100.00 / $173.78
Professional
$74.13
$100.00
$173.78
See more rates by state
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