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Breast Prosthesis, Mastectomy Sleeve

Virginia rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $29 · 10th–90th $17$460%10%20%10th90th$29Professionalmedian $74 · 10th–90th $36$810%20%10th90th$74$0.5$2.0$10.0$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
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$81.28
Typical High
$117.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
United
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$28.84
Typical High
$45.71
United
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31