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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

Vermont rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Rates data updated July 2026.

Facilitymedian $275 · 10th–90th $219$3160%50%10th90th$275Professionalmedian $245 · 10th–90th $245$3020%50%90th$245$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. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$245.47
Typical High
$281.84
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
$275.42
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$489.78
United
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$251.19
Typical High
$316.23
United
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$309.03
Typical High
$1,023.29