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Virginia rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Insurance Carrier
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.00 / $81.00 / $81.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.70 / $39.29 / $73.80
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.78 / $42.00 / $65.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00