go back

Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Rhode Island rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $832 · 10th–90th $295$1,1750%10%10th90th$832Professionalmedian $245 · 10th–90th $219$3720%20%10th90th$245$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$239.88
Typical High
$302.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$741.31
Median
$1,000.00
Typical High
$1,174.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$537.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$269.15
Typical High
$416.87