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Breast Prosthesis, Mastectomy Sleeve

Arizona rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated October 2026.

How much does Breast Prosthesis, Mastectomy Sleeve cost?

$195

Typical negotiated rate. In Arizona, October 2026.

Insurers have agreed to pay about $195 for this service. Most negotiated rates run $148 to $195.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $148 · 10th to 90th $36 to $148Professionalmedian $195 · 10th to 90th $195 to $195
$50$100facility $148professional $195

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

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$72.44
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$147.91
Typical High
$147.91
Medica
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$36.31
Typical High
$38.90
United
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$47.86

Where Arizona sits

The same service costs 9.5 times more in Illinois than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Arizona· 3rd of 48

$195

IL $269MT $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.