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Oregon rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Facilitymedian $4,169 · 10th–90th $3,236$4,3650%50%10th90th$4,169Professionalmedian $2,630 · 10th–90th $1,905$4,8980%20%10th90th$2,630$100.0$500.0$2.0K$10.0K$50.0K$200.0K$1.0M

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
$2,630.27 / $2,630.27 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,398.83 / $3,715.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,090.30 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,238.72 / $2,238.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $8,709.64 / $10,715.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,235.94 / $4,365.16
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,467.37 / $4,677.35
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,168.69 / $4,365.16
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,890.45 / $4,365.16 / $4,466.84
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,548.13 / $5,128.61
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $3,801.89 / $4,570.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,918.31 / $16,982.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,897.79 / $4,897.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $3,019.95 / $6,456.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,949.84 / $3,801.89