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New York rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Facilitymedian $3,311 · 10th–90th $182$8,1280%10%20%10th90th$3,311Professionalmedian $2,884 · 10th–90th $1,862$6,4570%20%10th90th$2,884$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
$1,584.89 / $3,467.37 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,698.24 / $2,187.76 / $3,467.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $7,585.78
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $3,630.78 / $3,630.78
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $3,630.78 / $3,630.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $5,128.61
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $7,244.36 / $16,982.44
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,754.23 / $4,365.16 / $8,317.64
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $190.55
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $3,311.31 / $3,311.31
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $4,168.69 / $4,168.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $2,951.21 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,884.03 / $7,244.36
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $2,884.03 / $3,311.31
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $3,311.31 / $3,311.31