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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Oregon rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $372 · 10th–90th $288$4170%50%10th90th$372Professionalmedian $282 · 10th–90th $174$4270%20%40%10th90th$282$0.5$5.0$50.0$500.0$5.0K$50.0K$500.0K

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
Professional
Modifier
Global
Typical Low
$169.82
Median
$229.09
Typical High
$354.81
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
$213.80
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$812.83
Typical High
$1,023.29
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$288.40
Typical High
$416.87
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$302.00
Typical High
$426.58
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$371.54
Typical High
$416.87
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$398.11
Typical High
$478.63
Providence
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$331.13
Typical High
$478.63
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$331.13
Typical High
$398.11
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$389.05
Typical High
$1,479.11
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$426.58
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$281.84
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$190.55
Typical High
$363.08