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Other Breast Prosthesis

Oklahoma rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Rates data updated October 2026.

How much rates vary

Facilitymedian $47 · 10th to 90th $47 to $100Professionalmedian $47 · 10th to 90th $47 to $47
$50$100$200$500$1K$2Kfacility $47professional $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
$46.77
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$7.08
Median
$7.08
Typical High
$7.08
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.68
Median
$4.68
Typical High
$4.68
Medica
Setting
Facility
Modifier
None
Typical Low
$46.77
Median
$48.98
Typical High
$100.00