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Colorado rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.64 / $213.64 / $213.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.88 / $213.64 / $301.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.28 / $480.09 / $871.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.69 / $258.69 / $279.39
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 / $202.54 / $457.97
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.58 / $277.33 / $596.22
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.33 / $277.33 / $277.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.91 / $534.10 / $846.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.66 / $188.91 / $314.85