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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Louisiana rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $324 · 10th–90th $229$6760%10%20%10th90th$324Professionalmedian $229 · 10th–90th $166$3310%20%10th90th$229$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
$229.09
Median
$229.09
Typical High
$323.59
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$331.13
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$588.84
Typical High
$831.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Christus
Setting
Facility
Modifier
Global
Typical Low
$39.81
Median
$263.03
Typical High
$263.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$302.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$380.19
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$323.59
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$288.40