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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

Montana rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $417 · 10th–90th $282$5250%20%10th90th$417Professionalmedian $331 · 10th–90th $155$8130%10%10th90th$331$100.0$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
$154.88
Median
$331.13
Typical High
$1,995.26
BCBS
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$416.87
Typical High
$416.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$446.68
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$446.68
Typical High
$446.68
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$812.83
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$416.87
Typical High
$812.83
Providence
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$436.52
Typical High
$575.44
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$338.84
Typical High
$446.68
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$190.55
Typical High
$302.00