go back

Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Delaware rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $251 · 10th–90th $0$3020%50%10th90th$251Professionalmedian $174 · 10th–90th $158$1,7380%50%10th90th$174$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$173.78
Typical High
$1,737.80
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
$302.00
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$0.30
Median
$218.78
Typical High
$251.19
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$295.12