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Arizona rates for HCPCS L8002

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.47 / $89.59 / $149.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.03 / $184.35 / $333.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $170.10 / $231.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.62 / $120.62 / $120.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $88.05 / $231.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.30 / $129.88 / $927.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $88.76 / $147.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.23 / $88.76 / $133.71