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Montana rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Facilitymedian $417 · 10th–90th $282–$5250%20%10th90th$417Professionalmedian $316 · 10th–90th $148–$4470%10%20%10th90th$316$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $229.09 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $446.68 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $446.68 / $446.68
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $416.87 / $812.83
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $416.87 / $812.83
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $398.11 / $562.34
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $338.84 / $446.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $239.88 / $251.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $190.55 / $302.00