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Colorado rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.64 / $213.64 / $213.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.60 / $213.64 / $301.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.28 / $480.09 / $871.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.11 / $278.11 / $297.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $301.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $216.08 / $457.97
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.95 / $213.64 / $534.10
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.95 / $121.95 / $121.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.45 / $501.00 / $846.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.66 / $188.91 / $314.85