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Idaho rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.95 / $318.31 / $381.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.51 / $296.00 / $296.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $296.00 / $315.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.95 / $295.63 / $427.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.79 / $359.72 / $378.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $279.44 / $332.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.57 / $369.78 / $554.66
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.06 / $276.41 / $397.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.66 / $188.91 / $339.62