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Utah rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Facilitymedian $24 · 10th–90th $15$390%20%10th90th$24Professionalmedian $36 · 10th–90th $18$740%10%20%10th90th$36$20.0$50.0

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $57.54 / $72.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $23.99 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $17.78 / $36.31