Breast Prosthesis, Silicone or Equal
L8030 is the Healthcare Common Procedure Code System (HCPCS) code used to bill for this item.
Note: The estimates below are based on Medica Choice network contract rates. How were these costs calculated?
Cost Key: |
Lower Cost | Medium Cost | Higher Cost |
Facility  |
City/State |
Average Cost Range  |
||
|---|---|---|---|---|
| A Fitting Place LLC | Hastings, MN | $250.00 - $315.00 | |||||
| A Womens Choice | East Gull Lake, MN | $250.00 - $315.00 | |||||
 |
Actra Rehabilitation Associates (9) | $315.00 - $350.00 | |||||
| Actra Rehabilitation Associates | Milwaukee, WI | $315.00 - $350.00 | |||||
| Actra Rehabilitation Associates | Bloomington, MN | $315.00 - $350.00 | |||||
| Actra Rehabilitation Associates | Madison, WI | $315.00 - $350.00 | |||||
| Actra Rehabilitation Associates | Kenosha, WI | $315.00 - $350.00 | |||||
| Actra Rehabilitation Associates Inc | Oshkosh, WI | $315.00 - $350.00 | |||||
| Actra Rehabilitation Associates Inc | Fond Du Lac, WI | $315.00 - $350.00 | |||||
| Actra Rehabilitation Associates Inc | Milwaukee, WI | $315.00 - $350.00 | |||||
| Actra Rehabilitation Associates Inc | Racine, WI | $315.00 - $350.00 | |||||
| Dan Rowe and Associates | Saint Paul, MN | $315.00 - $350.00 | |||||
| Afterimage | Wayzata, MN | $315.00 - $350.00 | |||||
| Handi Medical Supply | Saint Paul, MN | $315.00 - $350.00 | |||||
| Handi Medical Supply | Saint Paul, MN | $315.00 - $350.00 | |||||
|
Hanger Prosthetics & Orthotics (40) | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Burnsville | Burnsville, MN | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Cedar Rapids | Cedar Rapids, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Des Moines | Des Moines, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Des Moines | Des Moines, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Dubuque | Dubuque, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Duluth | Duluth, MN | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Franklin | Franklin, WI | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Green Bay - Van Buren | Green Bay, WI | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Green Bay - Voyager | Green Bay, WI | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Hibbing | Hibbing, MN | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Iowa City | Iowa City, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Kenosha | Kenosha, WI | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Manitowoc | Manitowoc, WI | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Mequon | Mequon, WI | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Milwaukee - Wisconsin 2 | Milwaukee, WI | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Minneapolis | Minneapolis, MN | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Racine | Racine, WI | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Rapid City | Rapid City, SD | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Sheboygan | Sheboygan, WI | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Sioux City | Sioux City, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - St Cloud | Saint Cloud, MN | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - St Paul | Saint Paul, MN | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Waterloo | Waterloo, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Waterloo | Waterloo, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics - Waukesha | Waukesha, WI | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East Inc (O&P) | Council Bluffs, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East Inc (O&P) | Des Moines, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East Inc (O&P) | Clive, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East, Inc | Saint Paul, MN | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East, Inc | Minneapolis, MN | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East, Inc | Waterloo, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East, Inc | Rapid City, SD | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East, Inc | Duluth, MN | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East, Inc | Dubuque, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East, Inc | Burnsville, MN | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East, Inc | Des Moines, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East, Inc | Hibbing, MN | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East, Inc | Cedar Rapids, IA | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East, Inc | Saint Cloud, MN | $315.00 - $350.00 | |||||
| Hanger Prosthetics & Orthotics East, Inc | Des Moines, IA | $315.00 - $350.00 | |||||
| Heide's Mastectomy Services of Duluth Inc | Duluth, MN | $250.00 - $315.00 | |||||
| Heide's Mastectomy Services, Inc. | Edina, MN | $315.00 - $350.00 | |||||
| Marvelles Apparel Inc | Alexandria, MN | $315.00 - $350.00 | |||||
|
MeritCare HealthCare Accessories LLC (14) | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | Jamestown, ND | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | Fargo, ND | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | Bemidji, MN | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | Jamestown, ND | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | Minot, ND | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | Fargo, ND | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | Thief River Falls, MN | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | Thief River Falls, MN | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | Bemidji, MN | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | Minot, ND | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | Bismarck, ND | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | Bismarck, ND | $315.00 - $350.00 | |||||
| MeritCare Healthcare Accessories LLC | East Grand Forks, MN | $315.00 - $350.00 | |||||
| Sanford Healthcare Accessories | East Grand Forks, MN | $315.00 - $350.00 | |||||
| Nordstrom Inc | Bloomington, MN | $250.00 - $315.00 | |||||
|
Prosthetic Laboratories of Rochester (12) | $315.00 - $350.00 | |||||
| Lairs Shoes | Rochester, MN | $315.00 - $350.00 | |||||
| Prosthetic Laboratories of Rochester Inc | Brainerd, MN | $315.00 - $350.00 | |||||
| Prosthetic Laboratories of Rochester Inc | Eau Claire, WI | $315.00 - $350.00 | |||||
| Prosthetic Laboratories of Rochester Inc | Rochester, MN | $315.00 - $350.00 | |||||
| Prosthetic Laboratories of Rochester Inc | La Crosse, WI | $315.00 - $350.00 | |||||
| Prosthetic Laboratories of Rochester Inc | Sioux Falls, SD | $315.00 - $350.00 | |||||
| Prosthetic Laboratories of Rochester Inc | Mankato, MN | $315.00 - $350.00 | |||||
| Prosthetic Laboratories of Rochester Inc | Stevens Point, WI | $315.00 - $350.00 | |||||
| Prosthetic Laboratories of Rochester Inc | Monona, WI | $315.00 - $350.00 | |||||
| Prosthetic Laboratories of Rochester Inc | Onalaska, WI | $315.00 - $350.00 | |||||
| Prosthetic Laboratories of Rochester Inc | Bemidji, MN | $315.00 - $350.00 | |||||
| Prosthetic Laboratories of Rochester Inc | Rochester, MN | $315.00 - $350.00 | |||||
|
Rice Home Medical (5) | $250.00 - $315.00 | |||||
| Rice Home Medical | Alexandria, MN | $250.00 - $315.00 | |||||
| Rice Home Medical LLC | Glenwood, MN | $250.00 - $315.00 | |||||
| Rice Home Medical LLC | Madison, MN | $250.00 - $315.00 | |||||
| Rice Home Medical LLC | Redwood Falls, MN | $250.00 - $315.00 | |||||
| Rice Home Medical LLC | Willmar, MN | $250.00 - $315.00 | |||||
|
S & S Rehab Products (2) | $315.00 - $350.00 | |||||
| S & S Rehab Products | Thief River Falls, MN | $315.00 - $350.00 | |||||
| S&S Rehab Products Plus | Thief River Falls, MN | $315.00 - $350.00 | |||||
| Sanford Healthcare Accessories LLC | Fargo, ND | $315.00 - $350.00 | |||||
| Sanford Healthcare Accessories LLC | Fargo, ND | $315.00 - $350.00 | |||||
|
Sanford Home Medical Equipment (36) | $250.00 - $315.00 | |||||
| Sanford Home Care Canby | Canby, MN | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Brookings, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Cherokee, IA | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Canton, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Burke, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Canby, MN | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Windom, MN | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Vermillion, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Sioux Falls, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Sioux Falls, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Sioux Falls, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Sioux Falls, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Sheldon, IA | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Luverne, MN | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Worthington, MN | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Spirit Lake, IA | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Chamberlain, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Huron, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Sioux Falls, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment | Orange City, IA | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment - Cherokee | Cherokee, IA | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment - E Sioux | Sioux Falls, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment - Orange City | Orange City, IA | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-Brookings | Brookings, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-Burke | Burke, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-Canton | Canton, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-Chamberlain | Chamberlain, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-Huron | Huron, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-Luverne | Luverne, MN | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-MBII | Sioux Falls, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-North Center | Sioux Falls, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-Sheldon | Sheldon, IA | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-Spirit Lake | Spirit Lake, IA | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-Vermillion | Vermillion, SD | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-Windom | Windom, MN | $250.00 - $315.00 | |||||
| Sanford Home Medical Equipment-Worthington | Worthington, MN | $250.00 - $315.00 | |||||
| Superior Medical Services, Inc. | Woodbury, MN | $250.00 - $315.00 | |||||
|
Tillges Certified Orthotic Prosthetic Inc (9) | $250.00 - $315.00 | |||||
| Tillges Certified Orthotic Prosthetic Inc | Saint Paul, MN | $250.00 - $315.00 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Saint Paul, MN | $250.00 - $315.00 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Woodbury, MN | $250.00 - $315.00 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Minneapolis, MN | $250.00 - $315.00 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Amery, WI | $250.00 - $315.00 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Maplewood, MN | $250.00 - $315.00 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | New Richmond, WI | $250.00 - $315.00 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Saint Croix Falls, WI | $250.00 - $315.00 | |||||
| Tillges Certified Orthotic Prosthetic, Inc | Osceola, WI | $250.00 - $315.00 | |||||
| Underneath It All | Eden Prairie, MN | $250.00 - $315.00 | |||||
|
Winkley Orthotics & Prosthetics (8) | $315.00 - $350.00 | |||||
| Winkley Orthotics & Prosthetics | Red Wing, MN | $315.00 - $350.00 | |||||
| Winkley Orthotics & Prosthetics | Cambridge, MN | $315.00 - $350.00 | |||||
| Winkley Orthotics & Prosthetics | Woodbury, MN | $315.00 - $350.00 | |||||
| Winkley Orthotics & Prosthetics | Eau Claire, WI | $315.00 - $350.00 | |||||
| Winkley Orthotics & Prosthetics | Rice Lake, WI | $315.00 - $350.00 | |||||
| Winkley Orthotics & Prosthetics | Minneapolis, MN | $315.00 - $350.00 | |||||
| Winkley Orthotics & Prosthetics | Golden Valley, MN | $315.00 - $350.00 | |||||
| Winkley Orthotics & Prosthetics | Coon Rapids, MN | $315.00 - $350.00 |
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