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Breast Prosthesis, Mastectomy Sleeve

Washington rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Sleeve cost?

$56.23

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $56.23 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $56.23 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$38.02 to $69.18
FacilityA hospital or hospital-owned outpatient department$56.23$45.71 to $56.23

How much rates vary

Facilitymedian $56 · 10th to 90th $38 to $56Professionalmedian $52 · 10th to 90th $38 to $72
$0.5$2.0$10.0$50.0facility $56professional $52

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Washington sits

The same service costs 11.2 times more in Illinois than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Washington $56.23 · 17th of 51
IL $269HI $23.99

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.