go back

Breast Prosthesis, Mastectomy Sleeve

Michigan rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $24 · 10th–90th $14$360%20%10th90th$24Professionalmedian $58 · 10th–90th $58$720%50%90th$58$0.5$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$72.44
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$23.99
Typical High
$36.31