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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

Oklahoma rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $214 · 10th–90th $170$4680%20%10th90th$214Professionalmedian $195 · 10th–90th $158$2820%20%10th90th$195$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
$169.82
Median
$169.82
Typical High
$194.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$194.98
Typical High
$229.09
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
$467.74
Medica
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$275.42
Typical High
$1,230.27
Medica
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$323.59
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$190.55
Typical High
$281.84