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Illinois rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Facilitymedian $479 · 10th–90th $209–$2,6920%20%10th90th$479Professionalmedian $245 · 10th–90th $174–$4270%20%10th90th$245$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $426.58
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $223.87 / $426.58
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $316.23 / $575.44
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $812.83 / $3,801.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $295.12 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $467.74
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $407.38 / $489.78
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $346.74 / $616.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $208.93 / $354.81