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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

West Virginia 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?

$204

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $191 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$191 to $209
FacilityA hospital or hospital-owned outpatient department$191$191 to $251

How much rates vary

Facilitymedian $191 · 10th to 90th $191 to $437Professionalmedian $204 · 10th to 90th $191 to $275
$200$500$1K$2Kfacility $191professional $204

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
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$537.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$2,089.30
Highmark BCBS
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$269.15
United
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$251.19
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$245.47
Typical High
$338.84

Where West Virginia sits

The same service costs 3.0 times more in Hawaii than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 48th of 51

$204

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.