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Other Breast Prosthesis

Oregon rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Rates data updated July 2026.

How much does Other Breast Prosthesis cost?

$776

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $776 for this service. The price depends on where it is billed: about $52.48 from a physician practice, and about $1,072 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$52.48$46.77 to $776
FacilityA hospital or hospital-owned outpatient department$1,072$1,072 to $1,072

How much rates vary

Facilitymedian $1,072 · 10th to 90th $52 to $1,072Professionalmedian $52 · 10th to 90th $47 to $776
$100.0$1.0K$10.0K$100.0K$1.0Mfacility $1,072professional $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
$52.48
Median
$52.48
Typical High
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$776.25
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$77.62
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Providence
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$77.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$79.43

Where Oregon sits

The same service costs 16.6 times more in Oregon than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Oregon $776 · 1st of 51
OR $776HI $46.77

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.