go back

Breast Prosthesis, Mastectomy Sleeve

Alaska rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $38 · 10th–90th $22$1120%20%40%10th90th$38Professionalmedian $112 · 10th–90th $58$1510%50%10th90th$112$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$112.20
Typical High
$112.20
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$112.20
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$23.99
United
Setting
Professional
Modifier
Global
Typical Low
$17.78
Median
$17.78
Typical High
$17.78