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Delaware rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.94 / $171.48 / $183.77
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 / $301.92
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.00 / $260.00 / $262.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.07 / $193.89 / $292.07