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Arizona rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Facilitymedian $389 · 10th–90th $135–$8710%10%10th90th$389Professionalmedian $214 · 10th–90th $170–$3550%20%40%10th90th$214$0.5$2.0$10.0$50.0$200.0$1.0K

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
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $213.80 / $346.74
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $501.19 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $457.09 / $870.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $275.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $295.12 / $891.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $190.55 / $2,187.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $371.54 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $190.55 / $302.00