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Other Breast Prosthesis

Pennsylvania rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Rates data updated July 2026.

How much does Other Breast Prosthesis cost?

$46.77

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $46.77 for this service. Most negotiated rates run $46.77 to $52.48.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $47 · 10th to 90th $47 to $182Professionalmedian $47 · 10th to 90th $47 to $105
$50.0$100.0$200.0$500.0facility $47professional $47

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
$46.77
Median
$46.77
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$104.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$181.97
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$104.71

Where Pennsylvania 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.

Pennsylvania $46.77 · 40th 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.