| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $156.80 | $456.03 | $3,034.99 | |
Cigna
| Facility | $86.65 | $116.87 | $233.41 | |
Cigna
| Professional | $57.75 | $57.75 | $72.19 | |
United
| Facility | $30.00 | $30.00 | $30.00 |
Breast Prosthesis Mastectomy Sleeve (Special Coverage Instructions Apply. See Mcm: 2130 A)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $156.80 | $456.03 | $3,034.99 | |
Cigna
| Facility | $86.65 | $116.87 | $233.41 | |
Cigna
| Professional | $57.75 | $57.75 | $72.19 | |
United
| Facility | $30.00 | $30.00 | $30.00 |
Want provider-level rates data? We offer custom data extracts for a reasonable fee. To learn more, please email us.