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Breast Prosthesis, Mastectomy Sleeve

Washington rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

Facilitymedian $56 · 10th–90th $38$560%50%10th$56Professionalmedian $52 · 10th–90th $38$720%20%10th90th$52$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. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$72.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$56.23
Typical High
$56.23
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$52.48
Typical High
$72.44
United
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$28.18
Typical High
$45.71