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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Massachusetts rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $631 · 10th–90th $269$9770%20%10th90th$631Professionalmedian $398 · 10th–90th $204$6170%20%10th90th$398$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$218.78
Median
$457.09
Typical High
$724.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$218.78
Typical High
$691.83
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$933.25
Typical High
$2,238.72
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$616.60
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$660.69
Typical High
$870.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$389.05
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$660.69
Health New England
Setting
Facility
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58
Health New England
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$380.19
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$338.84
Median
$933.25
Typical High
$2,238.72
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$354.81
Typical High
$616.60
Tufts
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$288.40
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$446.68