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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Kansas rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $347 · 10th–90th $123$4370%50%10th90th$347Professionalmedian $417 · 10th–90th $191$4170%50%10th$417$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
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$223.87
Typical High
$354.81
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$363.08
Typical High
$389.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$309.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$489.78
Medica
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$302.00
Typical High
$1,023.29
Medica
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$229.09
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$338.84