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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Nebraska rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $437 · 10th–90th $229$7760%10%20%10th90th$437Professionalmedian $174 · 10th–90th $151$3240%20%40%10th90th$174$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
$229.09
Median
$229.09
Typical High
$275.42
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$173.78
Typical High
$275.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$302.00
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$489.78
Typical High
$891.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$467.74
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$251.19
Typical High
$407.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$1,148.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$588.84
Median
$1,071.52
Typical High
$1,148.15
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$239.88
Typical High
$338.84