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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

Rates data updated July 2026.

Facilitymedian $191 · 10th–90th $191$4370%50%90th$191Professionalmedian $204 · 10th–90th $191$2820%20%40%10th90th$204$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
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$208.93
CareSource
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$537.03
CareSource
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$275.42
Typical High
$478.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275.42
Median
$575.44
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$2,089.30
United
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$436.52
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$263.03
Typical High
$346.74