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Florida rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $724.44 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $208.93 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $309.03 / $323.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $295.12 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $295.12
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $169.82 / $245.47
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $239.88 / $407.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $158.49 / $181.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $281.84 / $398.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $199.53 / $302.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $407.38