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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

Virginia rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $398 · 10th–90th $204$4270%20%40%10th90th$398Professionalmedian $214 · 10th–90th $178$3720%20%10th90th$214$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
$204.17
Median
$204.17
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$204.17
Typical High
$229.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$416.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$537.03
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$275.42
Typical High
$275.42
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$204.17
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$295.12
Median
$398.11
Typical High
$549.54
Medcost
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$288.40
Typical High
$457.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$257.04
Sentara
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$602.56
Sentara
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$323.59
Typical High
$602.56
United
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$281.84
Typical High
$512.86
United
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$194.98
Typical High
$338.84