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Alaska rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.84 / $407.84 / $407.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $277.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $277.45 / $285.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.33 / $277.33 / $277.33
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.72 / $442.46 / $698.63
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.57 / $331.57 / $454.83
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.57 / $454.83 / $937.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.33 / $277.33 / $277.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.45 / $360.41 / $545.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.11 / $232.36 / $445.35