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Maine 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
$84.93 / $130.91 / $130.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.88 / $223.98 / $415.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.55 / $117.55 / $145.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.62 / $120.62 / $142.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $88.05 / $120.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.38 / $157.38 / $157.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.29 / $130.91 / $130.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.65 / $96.97 / $223.01