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Virginia rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.97 / $204.97 / $207.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.31 / $204.97 / $227.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.65 / $388.65 / $412.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.69 / $258.69 / $323.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.77 / $298.77 / $298.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $277.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $202.54 / $277.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.06 / $349.79 / $466.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.16 / $277.33 / $432.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.14 / $510.49 / $647.36
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.93 / $304.18 / $463.84
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.93 / $304.18 / $463.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.03 / $193.89 / $334.14