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Indiana rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Facilitymedian $28 · 10th–90th $22$460%20%10th90th$28Professionalmedian $18 · 10th–90th $12$620%10%10th90th$18$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $61.66 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $27.54 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $17.78 / $27.54