go back

Other Breast Prosthesis

New Jersey 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 $776Professionalmedian $52 · 10th to 90th $47 to $776
$50.0$200.0$1.0K$5.0K$20.0Kfacility $776professional $52

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
$776.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$52.48
Typical High
$776.25
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$38,018.94