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Breast Prosthesis, Mastectomy Sleeve

New York rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated October 2026.

How much does Breast Prosthesis, Mastectomy Sleeve cost?

$46.77

Typical negotiated rate. In New York, October 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $38.90 to $50.12.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $39 · 10th to 90th $30 to $39Professionalmedian $47 · 10th to 90th $39 to $50
$50$100facility $39professional $47

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
Cigna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$58.88
Typical High
$72.44
Excellus BCBS
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$50.12
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$36.31
Typical High
$38.90
Univera
Setting
Facility
Modifier
None
Typical Low
$35.48
Median
$38.90
Typical High
$38.90
Univera
Setting
Professional
Modifier
None
Typical Low
$38.90
Median
$38.90
Typical High
$50.12

Where New York sits

The same service costs 9.5 times more in Illinois than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 19th of 48

$46.77

IL $269MT $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.