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Breast Prosthesis, Mastectomy Sleeve

California rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $24$1820%50%10th$182Professionalmedian $65 · 10th–90th $25$2040%10%20%10th90th$65$0.5$2.0$10.0$50.0$200.0$1.0K

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

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$61.66
Typical High
$74.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$630.96
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$204.17
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
United
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$23.99
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$25.12
Typical High
$45.71