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Rhode Island rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,886.12 / $2,372.98 / $2,560.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,103.30 / $8,243.31 / $9,759.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.64 / $284.27 / $3,794.04
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 / $2,234.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.95 / $2,628.14 / $3,589.32