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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Vermont rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

How much does Breast Prosthesis, Silicone or Equal, No Integral Adhesive cost?

$245

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $245 for this service. Most negotiated rates run $245 to $282.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $251 · 10th to 90th $219 to $316Professionalmedian $245 · 10th to 90th $240 to $380
$200.0$500.0$1.0K$2.0Kfacility $251professional $245

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$407.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$371.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$302.00
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$239.88
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$1,023.29

Where Vermont sits

The same service costs 3.0 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Vermont $245 · 28th of 51
HI $513NE $174

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.