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
Conway, SC
See all hospitals reporting HCPCS L8002 →Price type
Conway Hospital, Inc.’s median price of $200 is 4% below the median hospital's median price ($208), higher than 28% 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: 7 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 | Aetna commercial professional · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 2 | Aetna medicare facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 3 | Blue Cross Blue Shield medicare facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 4 | Clover medicare facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 5 | Humana commercial facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 6 | Humana medicare facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 7 | Molina exchange facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 8 | Molina medicare facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 9 | UnitedHealthcare medicare facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 10 | WellCare medicare facility · fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
Last updated: May 20, 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.