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Breast Prosthesis, Mastectomy Sleeve

Nationwide rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $56 · 10th–90th $24$2190%20%10th90th$56Professionalmedian $58 · 10th–90th $24$790%20%40%10th90th$58$0.1$1.0$20.0$500.0$10.0K$200.0K

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$478.63
Typical High
$2,951.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$186.21
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$61.66
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$28.18
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$50.12
Typical High
$64.57