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Breast Prosthesis, Mastectomy Sleeve

Montana rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $48 · 10th–90th $47$490%50%10th90th$48Professionalmedian $48 · 10th–90th $47$490%50%10th90th$48$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. Need provider-level prices? Contact us.

Insurance Carrier
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$47.86
Typical High
$48.98
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$47.86
Typical High
$48.98
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$21.88
Typical High
$23.99