go back

Oklahoma rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,907.75 / $1,907.75 / $1,907.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,907.75 / $2,180.28 / $2,200.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,174.36 / $3,893.36 / $3,893.36
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 / $5,127.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,272.51 / $2,670.47 / $20,671.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.07 / $2,539.25 / $4,397.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.07 / $2,067.33 / $2,969.19