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Breast Prosthesis, Mastectomy Sleeve

New York rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $39 · 10th–90th $24$390%50%10th$39Professionalmedian $47 · 10th–90th $39$510%20%40%10th90th$47$0.5$2.0$10.0$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
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$58.88
Typical High
$72.44
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$50.12
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$27.54
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$50.12
Typical High
$64.57
Univera
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$38.90
Typical High
$38.90
Univera
Setting
Professional
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$50.12