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Kentucky rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.17 / $2,116.23 / $2,200.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.44 / $2,146.92 / $2,357.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,768.09 / $4,446.72 / $4,673.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,079.83 / $2,372.98 / $2,699.26
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,335.05 / $6,191.85 / $7,122.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,224.39 / $5,528.44 / $7,337.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $5,211.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,469.71 / $21,290.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.88 / $2,834.00 / $3,542.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,478.96 / $2,218.42 / $3,037.41