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Arizona rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,942.55 / $1,989.26 / $3,309.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,133.31 / $4,094.09 / $7,401.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,833.28 / $3,777.70 / $5,147.12
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 / $5,127.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.51 / $2,884.35 / $20,671.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.45 / $1,971.11 / $3,037.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.45 / $1,971.11 / $2,969.19