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Breast Prosthesis, Mastectomy Sleeve

Massachusetts rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Sleeve cost?

$45.71

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $45.71 for this service. The price depends on where it is billed: about $74.13 from a physician practice, and about $30.20 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$74.13$61.66 to $204
FacilityA hospital or hospital-owned outpatient department$30.20$28.18 to $182

How much rates vary

Facilitymedian $30 · 10th to 90th $15 to $182Professionalmedian $74 · 10th to 90th $58 to $204
$0.1$1$10$100facility $30professional $74

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$61.66
Typical High
$74.13
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$12.02
Median
$28.84
Typical High
$45.71

Where Massachusetts sits

The same service costs 11.2 times more in Illinois than in Hawaii. 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· 21st of 51

$45.71

IL $269HI $23.99

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.