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Maryland rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $47.06 / $85.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,500.00 / $2,500.00