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Breast Prosthesis, Mastectomy Sleeve

Vermont rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $28 · 10th–90th $22$390%20%10th90th$28$20.0

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
United
Setting
Facility
Modifier
Global
Typical Low
$21.88
Median
$27.54
Typical High
$38.90