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Arizona rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Facilitymedian $457 · 10th–90th $123–$8510%10%10th90th$457Professionalmedian $229 · 10th–90th $170–$5250%20%10th90th$229$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $831.76 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $229.09 / $524.81
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $407.38 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $501.19 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $457.09 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $295.12
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $316.23 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $190.55 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $338.84 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $190.55 / $288.40