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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Idaho rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $363 · 10th–90th $209$4790%20%40%10th90th$363Professionalmedian $282 · 10th–90th $191$4270%20%10th90th$282$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
Professional
Modifier
Global
Typical Low
$123.03
Median
$239.88
Typical High
$371.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$363.08
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$295.12
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$295.12
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$316.23
Typical High
$457.09
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$363.08
Typical High
$389.05
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$323.59
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$371.54
Typical High
$371.54
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$269.15
Typical High
$426.58
Select Health
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$398.11
Typical High
$588.84
Select Health
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$363.08
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$302.00