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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

New Mexico rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $282 · 10th–90th $209$4680%20%10th90th$282Professionalmedian $229 · 10th–90th $204$6310%20%10th90th$229$50.0$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$229.09
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$398.11
Typical High
$602.56
Providence
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$275.42
Typical High
$467.74
Providence
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$338.84
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$190.55
Typical High
$302.00