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Breast Prosthesis, Mastectomy Sleeve

Illinois rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $295 · 10th–90th $36$2,7540%10%10th90th$295Professionalmedian $59 · 10th–90th $41$720%20%40%10th90th$59$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$478.63
Typical High
$2,951.21
Cigna
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$58.88
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$28.18
Typical High
$44.67