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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

New Mexico rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $1,000 · 10th–90th $219$3,3880%10%10th90th$1,000Professionalmedian $240 · 10th–90th $204$4170%10%20%10th90th$240$100.0$500.0$2.0K$10.0K$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
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$229.09
Typical High
$1,995.26
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$467.74
Typical High
$467.74
BCBS
Setting
Facility
Modifier
Global
Typical Low
$870.96
Median
$2,137.96
Typical High
$3,548.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$380.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$602.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$288.40
Typical High
$457.09
Providence
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$288.40