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Breast Prosthesis, Mastectomy Sleeve

Iowa rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $46 · 10th–90th $24$1480%20%10th90th$46Professionalmedian $58 · 10th–90th $41$760%20%10th90th$58$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. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$72.44
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$69.18
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$56.23
Typical High
$194.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$44.67
Typical High
$66.07
Midlands
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$56.23
Typical High
$56.23
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$28.84
Typical High
$45.71