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Pennsylvania rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $47.06 / $182.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $47.06 / $384.73
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $47.06 / $182.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $47.06 / $384.73