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Breast Prosthesis, Mastectomy Sleeve

Washington, DC rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Professionalmedian $66 · 10th–90th $63$810%50%10th90th$66

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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$66.07
Typical High
$81.28