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Breast Prosthesis, Mastectomy Sleeve

Indiana rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $22$460%20%10th90th$28Professionalmedian $62 · 10th–90th $58$740%20%40%10th90th$62$0.5$1.0$2.0$5.0$10.0$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
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$47.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$61.66
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$27.54
Typical High
$38.90