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Breast Prosthesis, Silicone or Equal, No Integral Adhesive

Wyoming rates for HCPCS L8030

Breast prosthesis, silicone or equal, without integral adhesive

Rates data updated July 2026.

Facilitymedian $339 · 10th–90th $251$4170%20%10th90th$339Professionalmedian $372 · 10th–90th $214$4170%20%10th90th$372$200.0$500.0

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
$213.80
Median
$213.80
Typical High
$380.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$295.12
Median
$295.12
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$346.74
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$338.84