go back

Illinois rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.80 / $456.03 / $3,034.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.35 / $57.75 / $72.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00