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North Carolina rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.66 / $3,309.66 / $6,716.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,989.26 / $3,309.66 / $3,309.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.18 / $4,278.22 / $8,123.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,534.64 / $3,335.05 / $3,335.05
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 / $6,409.22
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.51 / $3,309.66 / $4,958.32
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,488.00 / $2,488.00 / $3,200.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,180.10 / $5,180.10 / $7,964.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,704.42 / $2,218.42 / $3,338.41
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,430.22 / $20,671.75 / $20,671.75
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,266.87 / $22,266.87 / $32,375.78