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Breast Prosthesis, Mastectomy Sleeve

Montana rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated October 2026.

How much rates vary

Facilitymedian $28 · 10th to 90th $28 to $41
facility $28

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
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$28.18
Median
$28.18
Typical High
$40.74