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Breast Prosthesis, Silicone or Equal, with Integral Adhesive

West Virginia rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive, any type

Rates data updated October 2026.

How much does Breast Prosthesis, Silicone or Equal, with Integral Adhesive cost?

$204

Typical negotiated rate. In West Virginia, October 2026.

Insurers have agreed to pay about $204 for this service. The price depends on where it is billed: about $204 from a physician practice, and about $275 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$204$195 to $295
FacilityA hospital or hospital-owned outpatient department$275$275 to $288

How much rates vary

Facilitymedian $275 · 10th to 90th $275 to $437Professionalmedian $204 · 10th to 90th $191 to $437
$200$500$1K$2Kfacility $275professional $204

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
CareSource
Setting
Facility
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
CareSource
Setting
Professional
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$478.63
Cigna
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$575.44
Cigna
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$204.17
Typical High
$2,089.30
United
Setting
Facility
Modifier
None
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
United
Setting
Professional
Modifier
None
Typical Low
$194.98
Median
$275.42
Typical High
$436.52

Where West Virginia sits

The same service costs 2.5 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 50th of 51

$204

HI $513DE $204

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.