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Breast Prosthesis, Mastectomy Sleeve

Hawaii rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $24 · 10th–90th $22$500%20%10th90th$24Professionalmedian $17 · 10th–90th $17$350%20%40%90th$17$20.0$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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$23.99
Typical High
$50.12
United
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$17.38
Typical High
$17.38