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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

New Jersey rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $141 · 10th–90th $141$3980%50%90th$141Professionalmedian $204 · 10th–90th $151$3240%10%20%10th90th$204$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
$141.25
Median
$141.25
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$331.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$275.42
Typical High
$398.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$275.42
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$380.19
Typical High
$512.86
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$398.11
Typical High
$398.11
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$239.88
Typical High
$389.05