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Massachusetts rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Facilitymedian $631 · 10th–90th $219$9120%20%10th90th$631Professionalmedian $295 · 10th–90th $174$4900%20%10th90th$295$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $616.60 / $912.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $218.78 / $457.09
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $512.86 / $1,995.26
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $338.84 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $660.69 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $389.05
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $3,630.78 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $660.69
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $758.58 / $758.58
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $380.19 / $380.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $512.86 / $1,995.26
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $338.84 / $562.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $281.84 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $316.23 / $446.68