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Breast Prosthesis, Mastectomy Sleeve

Missouri rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated October 2026.

How much rates vary

Facilitymedian $148 · 10th to 90th $100 to $148Professionalmedian $195 · 10th to 90th $195 to $195
$50$100facility $148professional $195

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Medica
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$147.91
Typical High
$147.91
Medica
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
United
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$36.31
Typical High
$38.90