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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Florida rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $589 · 10th–90th $174$8510%20%10th90th$589Professionalmedian $209 · 10th–90th $170$3310%20%10th90th$209$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
$173.78
Median
$588.84
Typical High
$851.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$323.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$302.00
Typical High
$407.38
AvMed
Setting
Facility
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
AvMed
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$380.19
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$295.12
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$295.12
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$741.31
Typical High
$741.31
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$239.88
Typical High
$407.38
Molina
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$158.49
Typical High
$181.97
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$199.53
Typical High
$316.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$407.38