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Kentucky rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.63 / $195.90 / $254.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.60 / $195.90 / $224.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.45 / $316.45 / $316.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.39 / $395.80 / $415.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.84 / $278.11 / $278.11
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.85 / $558.08 / $675.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.01 / $494.75 / $653.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.00 / $296.00 / $485.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $296.00 / $695.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.85 / $252.26 / $315.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.93 / $197.46 / $334.71