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Kentucky rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.37 / $195.90 / $195.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.48 / $200.81 / $224.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.39 / $395.80 / $415.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.42 / $227.42 / $258.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.85 / $558.08 / $675.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.01 / $494.75 / $653.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $485.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $277.45 / $2,035.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $346.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.63 / $197.46 / $334.71