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Massachusetts rates for HCPCS L8010

Breast Prosthesis Mastectomy Sleeve (Special Coverage Instructions Apply. See Mcm: 2130 A)

Insurance Carrier
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $152.29 / $152.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.14 / $202.14 / $202.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.75 / $57.75 / $72.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $152.29 / $152.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.14 / $202.14 / $202.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00