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Missouri rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.33 / $61.22 / $73.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $146.91 / $146.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.46 / $194.36 / $194.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00