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Idaho rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $229.09 / $354.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $363.08 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $426.58 / $426.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $275.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $346.74 / $457.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $363.08 / $389.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $323.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $371.54 / $371.54
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $302.00 / $426.58
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $389.05 / $436.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $251.19 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $190.55 / $302.00