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Breast Prosthesis, Mastectomy Sleeve

Tennessee rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $24$1820%50%10th$182Professionalmedian $182 · 10th–90th $72$2040%50%10th90th$182$0.5$2.0$10.0$50.0$200.0

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
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$204.17
United
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$28.18
Typical High
$36.31