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Kentucky rates for HCPCS L8015

External breast prosthesis garment, with mastectomy form, post mastectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.55 / $34.61 / $36.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.55 / $34.64 / $38.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.28 / $72.73 / $76.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.03 / $38.92 / $44.76
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.56 / $101.30 / $116.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.09 / $90.45 / $120.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.82 / $46.82 / $85.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $46.82 / $348.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.01 / $46.36 / $57.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.20 / $36.29 / $58.11