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Florida rates for HCPCS L8015

External breast prosthesis garment, with mastectomy form, post mastectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.06 / $33.40 / $86.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.06 / $37.25 / $54.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.56 / $54.56 / $54.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.82 / $46.82 / $80.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $46.82
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.44 / $48.44 / $48.44
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.89 / $48.44 / $72.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $36.93 / $40.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.24 / $36.29 / $54.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.93 / $36.93 / $43.79