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Nationwide rates for HCPCS L8002

Breast Prosthesis Mastectomy Bra With Integratedbreast Prosthesis Form Bilateral Any Size Any Type (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.47 / $100.68 / $113.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.91 / $100.68 / $149.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.38 / $208.15 / $388.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.90 / $121.56 / $164.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.62 / $120.62 / $133.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $120.62 / $128.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $99.37 / $159.58