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Breast Prosthesis, Mastectomy Sleeve

Maryland rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated October 2026.

How much rates vary

Facilitymedian $36 · 10th to 90th $30 to $39Professionalmedian $63 · 10th to 90th $54 to $81
$50$100facility $36professional $63

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
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$63.10
Typical High
$81.28
United
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$36.31
Typical High
$38.90