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Kentucky 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
$64.67 / $95.31 / $99.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.09 / $96.68 / $106.16
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.38 / $149.38 / $149.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.67 / $200.27 / $210.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.67 / $106.87 / $121.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.19 / $278.83 / $320.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.26 / $248.96 / $330.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.62 / $120.62 / $234.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $120.62 / $955.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.75 / $120.43 / $150.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.61 / $99.91 / $159.58