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Minnesota rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $131.83 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $67.61 / $74.13
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $125.89 / $245.47
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $64.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $147.91 / $147.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $194.98 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $23.99 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $17.78 / $33.88