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Breast Prosthesis, Mastectomy Sleeve

Oregon rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated October 2026.

How much rates vary

Facilitymedian $56 · 10th to 90th $46 to $56Professionalmedian $76 · 10th to 90th $76 to $76
$50facility $56professional $76

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
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$56.23
Typical High
$56.23