External breast prosthesis garment, with mastectomy form, post mastectomy
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $56.23 / $213.80
Facility
$30.90
$56.23
$213.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $37.15 / $63.10
Professional
$30.20
$37.15
$63.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $50.12 / $147.91
Facility
$36.31
$50.12
$147.91
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $44.67 / $91.20
Professional
$38.02
$44.67
$91.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46.77 / $47.86 / $269.15
Facility
$46.77
$47.86
$269.15
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $104.71
Professional
$33.88
$33.88
$104.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $57.54 / $89.13
Facility
$37.15
$57.54
$89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $63.10
Professional
$26.92
$36.31
$63.10
See more rates by state
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