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                         
Expand group Fairview Orthotics and Prosthetics (2) $517.00 - $541.00
  Great Plains Rehabilitation Services Bismarck, ND $280.00 - $374.00  
  Heides Mastectomy Services Edina, MN $280.00 - $374.00  
  Heides Mastectomy Services of Duluth Inc Duluth, MN $280.00 - $374.00  
Expand group Mayo Clinic Store (2)
  Nordstrom Inc Bloomington, MN $196.00 - $276.00  
  North Metro Orthotics & Prosthetics Inc Fridley, MN $280.00 - $374.00  
Expand group Park Nicollet Health Care Products and Pharmacies (3) $280.00 - $374.00
  Prosthetic Laboratories of Rochester Inc Rochester, MN $280.00 - $374.00  
Expand group Rice Home Medical (3) $196.00 - $276.00
  Sanford HealthCare Accessories LLC Fargo, ND $280.00 - $374.00  
  Superior Medical Services Inc Woodbury, MN $280.00 - $374.00  
  Tillges Certified Orthotic Prosthetic Inc Maplewood, MN $280.00 - $374.00  
  Underneath It All Eden Prairie, MN $280.00 - $374.00  

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