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Alaska rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,780.08 / $3,780.08 / $3,780.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $3,060.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $2,234.23
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.51 / $1,272.51 / $1,272.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,100.93 / $4,100.93 / $6,475.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.51 / $1,272.51 / $3,060.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $3,201.58 / $5,058.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,086.40 / $2,153.60 / $4,127.72