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Arizona rates for HCPCS L8002

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

Facilitymedian $158 · 10th–90th $58–$4070%10%10th90th$158Professionalmedian $102 · 10th–90th $83–$1780%20%40%10th90th$102$0.2$1.0$5.0$20.0$100.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $102.33 / $173.78
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $213.80 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $194.98 / $371.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $120.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57.54 / $134.90 / $933.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $89.13 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $158.49 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $89.13 / $134.90