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Other Breast Prosthesis

New Hampshire rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Rates data updated July 2026.

How much rates vary

Facilitymedian $776 · 10th to 90th $776 to $933Professionalmedian $105 · 10th to 90th $47 to $933
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $776professional $105

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$104.71
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89