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California rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $61.22 / $72.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.00 / $55.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $152.29 / $152.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.14 / $194.36 / $202.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,250,000.00 / $2,400,000.00 / $2,400,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00