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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Mississippi rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $309 · 10th–90th $282$5500%20%40%10th90th$309Professionalmedian $229 · 10th–90th $174$3980%20%10th90th$229$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$398.11
Median
$398.11
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$398.11
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$407.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
BCBS
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$309.03
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
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$407.38
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$323.59
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$288.40