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Other Breast Prosthesis

Hawaii rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Rates data updated October 2026.

How much does Other Breast Prosthesis cost?

$38.02

Typical negotiated rate. In Hawaii, October 2026.

Insurers have agreed to pay about $38.02 for this service. Most negotiated rates run $34.67 to $324.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $38 · 10th to 90th $35 to $776
$50$100$200$500professional $38

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$38.02
University Health Alliance
Setting
Professional
Modifier
None
Typical Low
$323.59
Median
$323.59
Typical High
$323.59

Where Hawaii sits

The same service costs 20.4 times more in New Hampshire than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Hawaii· 51st of 51

$38.02

NH $776HI $38.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.