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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Colorado rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $324 · 10th–90th $123$5500%10%20%10th90th$324Professionalmedian $214 · 10th–90th $170$3020%50%10th90th$214$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
Facility
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$371.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$288.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$524.81
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$295.12
Typical High
$398.11
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
$398.11
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$323.59
Typical High
$549.54
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$123.03
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$436.52
Typical High
$676.08
Select Health
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$812.83
Typical High
$912.01
Select Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$436.52
Typical High
$549.54
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$281.84
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$288.40