HCPCS L8010
Breast prosthesis, mastectomy sleeve
Retired code9 hospitals with prices
This code is retired. Some hospitals still list it.
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $32.08 – $41.45 | — | — |
| Kadlec Regional Medical Center | $80.72 | — | — |
| Mary Bridge Children's Hospital | $82.06 | — | — |
| MultiCare Auburn Medical Center | $30.22 – $34.54 | — | — |
| MultiCare Covington Medical Center | $30.22 – $34.54 | — | — |
| MultiCare Valley Hospital | $49.73 | — | — |
| Tacoma General Allenmore Hospital | $30.22 – $34.54 | — | — |
| Virginia Mason Medical Center | $94.27 | — | — |
| Yakima Valley Memorial | $35.92 – $41.45 | — | — |
Medicare (traditional) reference
CMS publishes no national amount for this code.