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Maryland rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.22 / $61.22 / $73.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.19 / $81.00 / $98.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00