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Minnesota rates for HCPCS L8002

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

Facilitymedian $234 · 10th–90th $166–$1,4450%20%40%10th90th$234Professionalmedian $200 · 10th–90th $98–$2290%50%10th90th$200$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
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $117.49 / $165.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $199.53 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $199.53 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $741.31 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $263.03 / $295.12
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $741.31 / $1,445.44
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $316.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $199.53 / $933.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $89.13 / $218.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.41 / $117.49 / $288.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $275.42