go back

New York rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.22 / $49.22 / $49.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $58.33 / $72.19
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.50 / $38.50 / $49.71
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.46 / $46.46 / $57.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.57 / $38.50 / $38.50
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.50 / $38.50 / $49.71