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Breast Prosthesis, Mastectomy Sleeve

Georgia rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $15$460%20%10th90th$28Professionalmedian $85 · 10th–90th $39$1550%20%10th90th$85$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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$87.10
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$28.18
Typical High
$45.71