go back

Georgia rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $47.06 / $47.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $47.06 / $85.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.88 / $2,500.00 / $2,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.47 / $249.47 / $249.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00