go back

South Carolina rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Facilitymedian $282 · 10th–90th $178–$5370%10%20%10th90th$282Professionalmedian $214 · 10th–90th $170–$3310%10%10th90th$214$50.0$100.0$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
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $208.93 / $316.23
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $295.12 / $407.38
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $218.78 / $218.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $398.11 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $295.12 / $323.59
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $489.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $234.42
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $309.03 / $645.65
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $123.03 / $123.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $269.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $281.84 / $512.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $194.98 / $288.40