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Maine rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.41 / $2,907.35 / $2,907.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,839.34 / $4,974.21 / $9,220.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,610.27 / $2,610.27 / $3,240.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,026.28 / $3,060.59 / $3,172.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $3,060.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,495.10 / $3,495.10 / $3,495.10
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,430.63 / $2,907.35 / $2,907.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,518.71 / $3,016.32 / $4,952.59