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Ohio rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $28.18 / $45.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $16.60 / $25.70