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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Alabama rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $295 · 10th–90th $240$4370%20%40%10th90th$295Professionalmedian $245 · 10th–90th $166$3310%20%10th90th$245$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$245.47
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$316.23
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$199.53
Typical High
$323.59