go back

Connecticut rates for HCPCS L8039

Breast Prosthesis Not Otherwise Specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.13 / $62.13 / $62.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $62.13 / $89.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00