go back

Maryland rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.39 / $2,116.76 / $3,451.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,409.89 / $2,409.89 / $2,950.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,700.00 / $3,060.59 / $3,060.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $3,060.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,021.74 / $4,316.77 / $6,216.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,944.50 / $2,198.65 / $3,415.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.27 / $2,610.27 / $2,800.00