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
Brst prsth bra & bilat form
Bangor, ME
See all hospitals reporting HCPCS L8002 →Price type
Acadia Hospital’s median price of $176 is 15% below the median hospital's median price ($208), higher than 8% of the 863 hospitals reporting HCPCS L8002. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Anthem enhanced pathways facility · fee schedule · outpatient | $114 | $114 | — | — | — | $114 – $114 |
| 2 | Anthem commercial professional · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 3 | Aetna commercial professional · fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 4 | Anthem commercial facility · fee schedule · outpatient | $146 | $146 | — | — | — | $146 – $146 |
| 5 | Anthem mcr advantage facility · fee schedule · outpatient | $194 | $194 | — | — | — | $194 – $194 |
| 6 | Aetna mcr advantage facility · fee schedule · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 7 | Optum mcr advantage facility · fee schedule · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 8 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 9 | WellCare mcr advantage facility · fee schedule · outpatient | $198 | $198 | — | — | — | $198 – $198 |
| 10 | UnitedHealthcare commercial professional · fee schedule · outpatient | $269 | $269 | — | — | — | $269 – $269 |
Last updated: Mar 30, 2026
See Mastectomy bra with built-in breast forms, both sides pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.