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Maine rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.59 / $340.03 / $340.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.03 / $581.76 / $1,078.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.17 / $250.17 / $379.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $277.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $202.54 / $277.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.77 / $408.77 / $408.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.27 / $340.03 / $340.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.92 / $251.87 / $579.23