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Idaho rates for HCPCS L8015

External breast prosthesis garment, with mastectomy form, post mastectomy

Facilitymedian $69 · 10th–90th $41–$980%20%10th90th$69Professionalmedian $52 · 10th–90th $31–$830%10%10th90th$52$20.0$50.0$100.0$200.0$500.0

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
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $43.65 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $72.44 / $123.03
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $46.77 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $46.77
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $61.66 / $79.43
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $70.79 / $74.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $63.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $72.44 / $72.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $79.43
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $74.13 / $74.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $48.98 / $57.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $32.36 / $57.54