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Indiana rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.81 / $200.81 / $421.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.90 / $204.83 / $210.57
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.34 / $377.65 / $421.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.42 / $258.69 / $349.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.45 / $464.15 / $593.70
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.66 / $464.15 / $569.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $421.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $277.45 / $432.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.94 / $210.51 / $317.10