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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

Iowa rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $355 · 10th–90th $251$1,0000%10%20%10th90th$355Professionalmedian $295 · 10th–90th $170$4900%20%10th90th$295$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
Setting
Facility
Modifier
Global
Typical Low
$194.98
Median
$331.13
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$398.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$489.78
Typical High
$616.60
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$398.11
Typical High
$426.58
Medica
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$562.34
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$281.84
Typical High
$707.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$549.54
Typical High
$1,148.15
Midlands
Setting
Facility
Modifier
Global
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$707.95
Typical High
$707.95
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$436.52
Typical High
$812.83
United
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$251.19
Typical High
$407.38
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$426.58