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Virginia rates for HCPCS L8015

External breast prosthesis garment, with mastectomy form, post mastectomy

Facilitymedian $72 · 10th–90th $37$890%20%40%10th90th$72Professionalmedian $40 · 10th–90th $31$760%20%10th90th$40$0.1$1.0$10.0$100.0$1.0K$10.0K

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
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $37.15 / $61.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $93.33
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $46.77 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $33.88 / $46.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $72.44 / $100.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $46.77 / $70.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $48.98 / $85.11
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $43.65 / $46.77
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $58.88 / $208.93
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $58.88 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $48.98 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $35.48 / $57.54