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Florida 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
$85.11 / $91.20 / $104.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $102.33 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $87.10 / $120.23
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $123.03 / $204.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $177.83 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $134.90 / $199.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $100.00 / $147.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $177.83 / $204.17