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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

Missouri rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $355 · 10th–90th $219$8320%20%10th90th$355Professionalmedian $257 · 10th–90th $195$5130%20%10th90th$257$0.5$2.0$10.0$50.0$200.0$1.0K

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
$194.98
Median
$288.40
Typical High
$288.40
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$288.40
Typical High
$1,995.26
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$1,513.56
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$257.04
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$263.03
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$416.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$275.42
Medica
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$354.81
Typical High
$1,995.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$2,187.76
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$346.74
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$338.84