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Colorado rates for HCPCS L8002

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.68 / $100.68 / $100.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.43 / $100.68 / $150.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.36 / $226.25 / $410.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $121.56 / $131.28
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 / $212.12
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.30 / $100.68 / $251.70
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $57.30 / $57.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.99 / $251.70 / $398.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.07 / $88.76 / $147.94