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Missouri rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.54 / $289.23 / $298.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.54 / $224.05 / $407.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.99 / $449.39 / $1,975.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.42 / $258.69 / $346.26
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 / $285.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.97 / $363.79 / $1,976.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.94 / $231.32 / $403.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.43 / $213.52 / $339.62