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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Illinois rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $427 · 10th–90th $209$2,6920%20%10th90th$427Professionalmedian $309 · 10th–90th $191$4270%20%10th90th$309$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$208.93
Median
$208.93
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$208.93
Typical High
$426.58
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$323.59
Typical High
$575.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$812.83
Typical High
$3,801.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$295.12
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$426.58
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$407.38
Typical High
$489.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$245.47
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$371.54