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Rhode Island rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.60 / $227.42 / $299.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.81 / $964.11 / $1,141.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.41 / $368.72 / $479.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.02 / $296.00 / $324.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.08 / $296.00 / $301.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.80 / $283.89 / $419.79