Mastectomy bra sleeve

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Mastectomy sleeve

Payers reporting HCPCS L8010

Payer pricing summary

Low

$15

Average

$176

Median

$92

High

$1.0k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +7 other terms	48	$201	$178	$95	53%	—	$14 – $273
2	UnitedHealthcare fee schedule · outpatient · +10 other terms	28	$41	$35	$14	40%	—	$17 – $51
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +7 other terms	22	$80	$163	$162	100%	—	$1 – $465
4	Anthem facility · case rate · outpatient · +7 other terms	16	$34	$37	$8	21%	—	$23 – $56
5	Caresource facility · case rate · outpatient · +2 other terms	16	$34	$37	$8	22%	—	$23 – $57
6	Cigna fee schedule · both · +8 other terms	15	$65	$57	$16	28%	—	$16 – $65
7	Molina facility · case rate · outpatient · +6 other terms	15	$33	$36	$8	23%	—	$23 – $56
8	Aetna fee schedule · outpatient · +8 other terms	14	$17	$52	$45	88%	—	$15 – $183
9	Wellmark fee schedule · both · +1 other terms	13	$56	$61	$27	45%	—	$56 – $227
10	Regence fee schedule · outpatient · +2 other terms	12	$32	$34	$9	26%	—	$25 – $82
11	Bcbs Mn fee schedule · outpatient · +3 other terms	11	$153	$123	$65	52%	—	$48 – $191
12	Optum facility · case rate · outpatient · +1 other terms	11	$31	$34	$8	22%	—	$28 – $51
13	Medica fee schedule · outpatient · +6 other terms	10	$57	$57	$15	26%	—	$34 – $73
14	First Health facility · percent of total billed charges · inpatientfrom % of charges · +2 other terms	9	$141	$141	—	—	—	$141 – $141
15	Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	9	$82	$82	—	—	—	$82 – $82
16	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	8	$55	$60	$17	28%	—	$36 – $87
17	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$15	$15	—	—	—	$15 – $15
18	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	7	$256	$271	$69	26%	—	$175 – $421
19	Phcs percent of total billed charges · inpatientfrom % of charges · +1 other terms	4	$305	$305	—	—	—	$305 – $305
20	WellCare percent of total billed charges · outpatientfrom % of charges	4	$42	$42	$3	7%	—	$38 – $46
21	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$338	$351	$21	6%	—	$335 – $381
22	Amerihealth Caritas professional · fee schedule · outpatient	2	$48	$48	—	—	—	$48 – $48
23	Kaiser fee schedule · both · +2 other terms	2	$85	$85	—	—	—	$85 – $85
24	Bcbs Id professional · fee schedule · outpatient	1	$56	$56	—	—	—	$56 – $56
25	Bcbs Nc facility · fee schedule · outpatient	1	$28	$28	$12	45%	—	$19 – $45

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