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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

Illinois rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $347 · 10th–90th $209$1,5140%20%10th90th$347Professionalmedian $229 · 10th–90th $191$4270%20%40%10th90th$229$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$208.93
Median
$208.93
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$208.93
Typical High
$426.58
BCBS
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$691.83
Typical High
$5,370.32
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$467.74
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$407.38
Typical High
$489.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
Molina
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$288.40
United
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$346.74
Typical High
$426.58
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$208.93
Typical High
$380.19