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
Colorado Springs, CO
See all hospitals reporting HCPCS L8002 →Price type
Uchmhs’s median price of $201 is 3% below the median hospital's median price ($208), higher than 31% 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, 7 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 medicare advantage fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 3 | Cigna medicare advantage fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 4 | Devoted medicare advantage fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 5 | Humana medicare advantage fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 6 | Kaiser medicare advantage fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
| 7 | UnitedHealthcare medicare advantage fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
Last updated: Nov 1, 2025
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.