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Virginia rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $77.83 / $77.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $77.83 / $77.83
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.06 / $77.83 / $87.95
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $9,929.00 / $10,945.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $9,929.00 / $10,945.00