go back

Other Breast Prosthesis

Wisconsin rates for HCPCS L8039

Breast prosthesis, not otherwise specified

Rates data updated July 2026.

How much does Other Breast Prosthesis cost?

$46.77

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $46.77 for this service. The price depends on where it is billed: about $46.77 from a physician practice, and about $46.77 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 7 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$46.77$46.77 to $46.77
FacilityA hospital or hospital-owned outpatient department$46.77$46.77 to $70.79

How much rates vary

Facilitymedian $47 · 10th to 90th $47 to $85Professionalmedian $47 · 10th to 90th $47 to $52
$50.0$100.0$200.0$500.0$1.0K$2.0Kfacility $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. Small sample; interpret with caution. 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
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$85.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$117.49
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$85.11
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$269.15

Where Wisconsin 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.

Wisconsin $46.77 · 50th 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.