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Breast Prosthesis, Mastectomy Sleeve

Arizona rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $46 · 10th–90th $24$1480%20%10th90th$46Professionalmedian $195 · 10th–90th $58$1950%50%10th$195$0.5$2.0$10.0$50.0

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
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$72.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
Global
Typical Low
$0.30
Median
$29.51
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86