go back

Breast Prosthesis, Mastectomy Sleeve

Washington rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated October 2026.

How much does Breast Prosthesis, Mastectomy Sleeve cost?

$38.02

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $38.02 for this service. The price depends on where it is billed: about $38.02 from a physician practice, and about $38.02 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$38.02$38.02 to $38.02
FacilityA hospital or hospital-owned outpatient department$38.02$38.02 to $38.90

How much rates vary

Facilitymedian $38 · 10th to 90th $24 to $56Professionalmedian $38 · 10th to 90th $38 to $38
$20$50$100$200facility $38professional $38

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$19.95
Median
$23.99
Typical High
$54.95
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$181.97
Median
$181.97
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$57.54
Median
$57.54
Typical High
$72.44
Molina
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$56.23
Typical High
$56.23
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Premera BCBS
Setting
Facility
Modifier
NR · New when rented
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Premera BCBS
Setting
Professional
Modifier
None
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Premera BCBS
Setting
Professional
Modifier
NR · New when rented
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
United
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$36.31
Typical High
$38.90

Where Washington sits

The same service costs 9.5 times more in Illinois than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington· 32nd of 48

$38.02

IL $269MT $28.18

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.