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Maryland rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Facilitymedian $282 · 10th–90th $251–$3390%20%10th90th$282Professionalmedian $209 · 10th–90th $174–$3470%20%10th90th$209$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $208.93 / $346.74
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $204.17 / $275.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $398.11 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218.78 / $281.84 / $338.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $204.17 / $316.23
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $251.19 / $251.19