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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

Massachusetts rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $479 · 10th–90th $219$2,2390%10%20%10th90th$479Professionalmedian $398 · 10th–90th $204$4900%20%40%10th90th$398$0.5$5.0$50.0$500.0$5.0K$50.0K

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
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$407.38
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$2,238.72
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$562.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$2,187.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$501.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$288.40
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$446.68
Typical High
$660.69
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$489.78
Typical High
$2,238.72
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$380.19
Typical High
$562.34
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$302.00
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$398.11
Typical High
$446.68