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California rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.64 / $776.64 / $776.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $776.64 / $776.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.96 / $57.76 / $152.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,500.00 / $2,500.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $40.00 / $66.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $268.66
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.66 / $268.66 / $268.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $77.83 / $776.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.00 / $2,250,000.00 / $2,400,000.00