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Breast Prosthesis, Mastectomy Sleeve

South Dakota rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $30 · 10th–90th $28$1480%20%40%10th90th$30Professionalmedian $58 · 10th–90th $58$720%20%40%90th$58$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$72.44
Medica
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$147.91
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$61.66
Typical High
$194.98
Midlands
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$44.67
Typical High
$57.54
Midlands
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$30.20
Typical High
$30.20