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Rhode Island rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $144.54 / $371.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $478.63 / $562.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $177.83 / $257.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $138.04 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $213.80 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $147.91 / $199.53