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.
Original text from hospital filings
Custom breast prosthesis
Low
$1.1k
Average
$5.2k
Median
$4.7k
High
$11.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
54 payers; the 90th percentile is 2.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +14 other terms | 373 | $4.6k | $4.5k | $1.1k | 24% | — | $1 – $14.6k |
| 2 | Aetna fee schedule · outpatient · +13 other terms | 371 | $4.6k | $5.2k | $2.4k | 47% | — | $1 – $29.4k |
| 3 | Humana fee schedule · outpatient · +13 other terms | 329 | $4.5k | $6.6k | $7.1k | 107% | — | $1 – $34.9k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +12 other terms | 233 | $4.6k | $5.8k | $2.9k | 50% | — | $0 – $20.6k |
| 5 | WellCare fee schedule · outpatient · +4 other terms | 219 | $4.7k | $4.8k | $709 | 15% | — | $4.1k – $8.6k |
| 6 | Devoted fee schedule · outpatient · +3 other terms | 165 | $4.5k | $4.6k | $107 | 2% | — | $4.4k – $5.5k |
| 7 | Molina fee schedule · outpatient · +9 other terms | 138 | $6.5k | $6.2k | $2.4k | 38% | — | $1 – $11.9k |
| 8 | Cigna Healthspring fee schedule · outpatient · +2 other terms | 116 | $4.6k | $4.6k | $161 | 3% | — | $4.5k – $5.5k |
| 9 | Cigna fee schedule · outpatient · +8 other terms | 102 | $4.7k | $5.2k | $1.4k | 27% | — | $4.4k – $13.2k |
| 10 | Anthem fee schedule · outpatient · +10 other terms | 81 | $4.5k | $6.2k | $5.9k | 96% | — | $2.6k – $33.8k |
| 11 | Kaiser fee schedule · outpatient · +7 other terms | 69 | $4.7k | $6.9k | $4.9k | 71% | — | $4.1k – $32.3k |
| 12 | Caresource fee schedule · outpatient · +8 other terms | 46 | $4.5k | $4.7k | $1.2k | 26% | — | $1 – $7.0k |
| 13 | Ambetter facility · fee schedule · outpatient · +5 other terms | 43 | $6.8k | $8.1k | $2.0k | 25% | — | $4.3k – $11.3k |
| 14 | Clover fee schedule · outpatient · +2 other terms | 42 | $4.4k | $4.4k | $325 | 7% | — | $4.0k – $5.4k |
| 15 | Superior Healthplan fee schedule · outpatient | 40 | $4.8k | $4.8k | $23 | 0% | — | $4.4k – $4.8k |
| 16 | Oscar fee schedule · outpatient · +5 other terms | 36 | $4.8k | $5.2k | $1.1k | 21% | — | $4.4k – $7.6k |
| 17 | Optum fee schedule · outpatient · +3 other terms | 33 | $4.5k | $5.9k | $2.4k | 41% | — | $4.4k – $11.3k |
| 18 | Medicare fee schedule · outpatient · +3 other terms | 23 | $4.4k | $4.3k | $207 | 5% | — | $4.0k – $4.5k |
| 19 | Regence facility · fee schedule · outpatient · +5 other terms | 19 | $4.7k | $4.5k | $360 | 8% | — | $3.7k – $4.8k |
| 20 | Amerihealth Caritas fee schedule · outpatient · +2 other terms | 18 | $5.4k | $5.3k | $300 | 6% | — | $4.5k – $5.4k |
| 21 | Bcbs Tx fee schedule · outpatient | 18 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 22 | Medical Mutual facility · fee schedule · outpatient · +3 other terms | 15 | $4.5k | $5.2k | $1.3k | 25% | — | $2.5k – $7.1k |
| 23 | Bcbs Mn fee schedule · outpatient · +4 other terms | 13 | $4.1k | $4.1k | $958 | 23% | — | $2.0k – $4.8k |
| 24 | Tricare facility · fee schedule · outpatient · +2 other terms | 13 | $4.4k | $4.4k | $126 | 3% | — | $4.0k – $4.5k |
| 25 | Wellmark fee schedule · both · +2 other terms | 13 | $4.3k | $4.3k | $1 | 0% | — | $4.3k – $4.3k |
← Hospitals reporting HCPCS L8035 · Snapshot 20261112T181611Z-3fa9fb76