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Louisiana rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,403.08 / $2,550.96 / $3,623.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.68 / $2,550.96 / $3,697.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,870.06 / $6,611.42 / $9,293.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,639.24 / $3,156.89 / $3,156.89
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
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 / $5,127.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.07 / $2,218.21 / $3,126.16