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Rhode Island rates for HCPCS L8015

External breast prosthesis garment, with mastectomy form, post mastectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $40.74 / $141.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $141.25 / $165.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $51.29 / $75.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.36 / $46.77 / $47.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $33.88 / $46.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $57.54 / $89.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $40.74 / $58.88