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Ohio rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.03 / $206.03 / $403.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.57 / $206.03 / $289.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.21 / $464.15 / $1,202.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.42 / $258.69 / $548.53
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.85 / $421.95 / $569.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.27 / $379.76 / $903.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $485.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $202.54 / $280.08
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $277.45
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $277.45 / $277.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.34 / $210.51 / $339.62