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Florida rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $2,041.74 / $2,344.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,290.87 / $3,311.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,311.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,090.30 / $4,786.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,238.72 / $2,238.72 / $3,090.30
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $2,691.53 / $4,570.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,951.21 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,187.76 / $2,951.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $4,570.88