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Rhode Island rates for HCPCS L8002

Breast Prosthesis Mastectomy Bra With Integratedbreast Prosthesis Form Bilateral Any Size Any Type (Revised 01012013)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.93 / $106.86 / $115.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.83 / $371.18 / $439.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.03 / $109.45 / $175.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.30 / $120.62 / $120.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.05 / $120.62 / $120.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.91 / $118.35 / $161.62