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Hawaii rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $35.29 / $35.29
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.39 / $36.90 / $75.00