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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
$46.77 / $181.97 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.77 / $46.77 / $181.97
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $380.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $0.60 / $0.60