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Washington, DC rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,300.91 / $2,300.91 / $2,300.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,300.91 / $2,300.91 / $2,300.91
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,409.89 / $2,409.89 / $2,950.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $2,234.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,805.90 / $2,805.90 / $8,569.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,435.73 / $2,153.59 / $3,050.92