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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

Maryland rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $282 · 10th–90th $219$3980%20%10th90th$282Professionalmedian $209 · 10th–90th $174$3020%20%40%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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$208.93
Typical High
$295.12
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$288.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$275.42
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$398.11
Typical High
$588.84
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$302.00
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$338.84
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$257.04