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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

North Dakota rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $309 · 10th–90th $309$5250%50%90th$309Professionalmedian $398 · 10th–90th $229$5250%20%10th90th$398$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
Facility
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$354.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$309.03
Typical High
$1,737.80
BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$512.86
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$489.78
Typical High
$616.60
Medica
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$354.81
Typical High
$933.25
Medica
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$213.80
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$616.60
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$302.00
Typical High
$489.78