go back

Ohio rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,159.55 / $2,159.55 / $4,144.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,104.82 / $2,159.55 / $2,974.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,152.96 / $4,865.03 / $12,604.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,157.57 / $2,405.25 / $5,749.57
Aultcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,759.34 / $3,759.34 / $3,759.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,317.06 / $4,422.75 / $5,970.71
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,890.37 / $4,002.06 / $9,469.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $5,211.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $3,677.44
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $3,060.59
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $3,060.59 / $3,060.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,063.88 / $2,837.84 / $3,720.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.98 / $2,206.46 / $3,037.41