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Other Breast Prosthesis

Virginia rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Rates data updated July 2026.

How much does Other Breast Prosthesis cost?

$77.62

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $77.62 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 4 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$77.62$46.77 to $77.62
FacilityA hospital or hospital-owned outpatient department$77.62$46.77 to $87.10

How much rates vary

Facilitymedian $78 · 10th to 90th $47 to $10,000Professionalmedian $78 · 10th to 90th $47 to $389
$50.0$200.0$1.0K$5.0Kfacility $78professional $78

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
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$77.62
Typical High
$89.13
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
Medcost
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$77.62
Typical High
$117.49
Sentara
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$10,000.00
Typical High
$10,964.78
Sentara
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$10,000.00
Typical High
$10,964.78

Where Virginia 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.

Virginia $77.62 · 7th 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.