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Breast Prosthesis, Mastectomy Sleeve

Massachusetts rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated October 2026.

How much does Breast Prosthesis, Mastectomy Sleeve cost?

$30.20

Typical negotiated rate. In Massachusetts, October 2026.

Insurers have agreed to pay about $30.20 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $23.99 from a hospital or other facility.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$209 to $209
FacilityA hospital or hospital-owned outpatient department$23.99$23.99 to $30.20

How much rates vary

Facilitymedian $24 · 10th to 90th $24 to $39Professionalmedian $209 · 10th to 90th $72 to $209
$50$100$200facility $24professional $209

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$26.92
AllWays Health Partners
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
Cigna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$72.44
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$26.92
Mass General Brigham
Setting
Professional
Modifier
None
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$36.31
Typical High
$38.90

Where Massachusetts sits

The same service costs 9.5 times more in Illinois than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 46th of 48

$30.20

IL $269MT $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.