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Other Breast Prosthesis

Indiana rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Rates data updated October 2026.

How much does Other Breast Prosthesis cost?

$46.77

Typical negotiated rate. In Indiana, October 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $912 from a hospital or other facility.

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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$46.77$46.77 to $46.77
FacilityA hospital or hospital-owned outpatient department$912$46.77 to $2,138

How much rates vary

Facilitymedian $912 · 10th to 90th $47 to $2,188Professionalmedian $47 · 10th to 90th $47 to $52
$0.1$1$10$100$1Kfacility $912professional $47

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
Facility
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$46.77
Typical High
$52.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.08
Median
$7.08
Typical High
$7.94
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.68
Median
$4.68
Typical High
$5.25
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Cigna
Setting
Professional
Modifier
None
Typical Low
$16.60
Median
$16.60
Typical High
$1,348.96
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$912.01
Median
$2,089.30
Typical High
$2,290.87
Physicians Health Plan of Northern Indiana
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$245.47
Typical High
$245.47

Where Indiana 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.

Indiana· 49th of 51

$46.77

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.