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Massachusetts rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Facilitymedian $5,370 · 10th–90th $1,905–$7,5860%20%10th90th$5,370Professionalmedian $2,951 · 10th–90th $1,905–$4,1690%20%10th90th$2,951$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,905.46
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,238.72 / $3,890.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,168.69 / $20,892.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,311.31 / $4,897.79
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,897.79 / $5,623.41 / $7,413.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $3,090.30 / $3,162.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $3,311.31
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,801.89 / $3,801.89 / $5,754.40
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,168.69 / $20,892.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,311.31 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,258.93 / $2,951.21 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $3,019.95 / $3,801.89