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Delaware rates for HCPCS L8035

Custom Breast Prosthesis Post Mastectomy Molded To Patient Model (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,776.56 / $1,926.49 / $2,041.16
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.95 / $2,163.26 / $3,244.08