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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

Tennessee rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $302 · 10th–90th $170$2,2390%20%10th90th$302Professionalmedian $195 · 10th–90th $170$3310%20%40%10th90th$195$0.5$2.0$10.0$50.0$200.0$1.0K

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
$302.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$186.21
Typical High
$331.13
BCBS
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$316.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$275.42
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2,238.72
Median
$2,884.03
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$407.38
United
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$194.98
Typical High
$302.00