go back

California rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Facilitymedian $2,818 · 10th–90th $2,239$12,0230%20%10th90th$2,818Professionalmedian $2,455 · 10th–90th $1,905$16,5960%20%10th90th$2,455$5.0$20.0$100.0$500.0$2.0K$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
$2,398.83 / $2,398.83 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,398.83 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,818.38 / $10,715.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,162.28 / $6,918.31
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $6,309.57 / $10,232.93
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,943.28 / $16,218.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $3,090.30
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,754.23 / $5,248.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,981.07 / $6,760.83
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $20,892.96
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,908.68 / $32,359.37 / $32,359.37
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,890.45 / $5,495.41
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $4,168.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $8,128.31
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,884.03 / $3,981.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $2,630.27 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,398.83 / $4,677.35