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Nebraska rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Facilitymedian $407 · 10th–90th $229–$8510%10%20%10th90th$407Professionalmedian $269 · 10th–90th $123–$1,0720%10%10th90th$269$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
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $229.09 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $229.09 / $1,995.26
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $323.59
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $416.87 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $302.00 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $489.78 / $724.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $467.74 / $1,995.26
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $251.19 / $407.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $467.74 / $1,148.15
Midlands
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$478.63 / $478.63 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $1,071.52 / $1,148.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $316.23 / $436.52
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $213.80 / $338.84