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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

Minnesota rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $776 · 10th–90th $363$3,4670%20%10th90th$776Professionalmedian $427 · 10th–90th $302$4900%50%10th90th$427$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$354.81
Median
$354.81
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$309.03
Typical High
$354.81
BCBS
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$426.58
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$426.58
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,584.89
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$562.34
Typical High
$616.60
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,737.80
Typical High
$3,467.37
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$660.69
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$426.58
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$467.74
United
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$251.19
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$251.19
Typical High
$575.44