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Breast Prosthesis, Mastectomy Sleeve

Alaska rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated October 2026.

How much rates vary

Facilitymedian $38 · 10th to 90th $38 to $112Professionalmedian $112 · 10th to 90th $112 to $112
$20$50$100facility $38professional $112

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$112.20
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$112.20
Median
$112.20
Typical High
$112.20
United
Setting
Professional
Modifier
None
Typical Low
$17.78
Median
$17.78
Typical High
$17.78