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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Kentucky rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $295 · 10th–90th $191$5750%20%10th90th$295Professionalmedian $209 · 10th–90th $178$2950%20%40%10th90th$209$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
$190.55
Median
$190.55
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$288.40
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$407.38
Typical High
$426.58
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$275.42
Typical High
$275.42
CareSource
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$537.03
Typical High
$691.83
CareSource
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$489.78
Typical High
$630.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$316.23
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$263.03
Typical High
$338.84
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$208.93
Typical High
$338.84