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Breast Prosthesis, Mastectomy Sleeve

Colorado rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $24 · 10th–90th $15$460%20%10th90th$24Professionalmedian $65 · 10th–90th $58$1740%20%10th90th$65$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
$61.66
Typical High
$74.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$23.99
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$45.71
Typical High
$45.71