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Ohio 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
$97.25 / $97.25 / $227.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.79 / $97.25 / $133.96
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
$187.02 / $219.09 / $567.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.79 / $111.76 / $258.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.38 / $199.17 / $268.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.18 / $180.24 / $426.46
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 / $88.05 / $154.09
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.62 / $120.62 / $120.62
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $120.62 / $120.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.23 / $99.37 / $159.58