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Breast Prosthesis, Mastectomy Sleeve

Wisconsin rates for HCPCS L8010

Breast prosthesis, mastectomy sleeve

Rates data updated October 2026.

How much does Breast Prosthesis, Mastectomy Sleeve cost?

$72.44

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $57.54 from a physician practice, and about $148 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$57.54$57.54 to $75.86
FacilityA hospital or hospital-owned outpatient department$148$138 to $158

How much rates vary

Facilitymedian $148 · 10th to 90th $36 to $186Professionalmedian $58 · 10th to 90th $50 to $195
$50$100$200facility $148professional $58

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

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
None
Typical Low
$138.04
Median
$158.49
Typical High
$234.42
Cigna
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$57.54
Typical High
$72.44
Medica
Setting
Facility
Modifier
None
Typical Low
$26.92
Median
$147.91
Typical High
$147.91
Medica
Setting
Professional
Modifier
None
Typical Low
$40.74
Median
$194.98
Typical High
$194.98
Quartz
Setting
Professional
Modifier
None
Typical Low
$27.54
Median
$75.86
Typical High
$89.13
United
Setting
Facility
Modifier
None
Typical Low
$30.20
Median
$36.31
Typical High
$38.90

Where Wisconsin 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.

Wisconsin· 9th of 48

$72.44

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.