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 |
|---|
 |
Fairview Orthotics and Prosthetics (2) | $517.00 - $541.00 | |||||
| Fairview Orthotics and Prosthetics-Burnsville | Burnsville, MN | $517.00 - $541.00 | |||||
| Fairview Orthotics and Prosthetics-St Paul | Saint Paul, MN | $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 | |||||
|
Mayo Clinic Store (2) | ||||||
| Mayo Clinic Store-Mastectomy & Com Prod | Rochester, MN | $280.00 - $374.00 | |||||
| MCHS Pharmacy and Home Medical Downtown | Eau Claire, WI | $196.00 - $276.00 | |||||
| Nordstrom Inc | Bloomington, MN | $196.00 - $276.00 | |||||
| North Metro Orthotics & Prosthetics Inc | Fridley, MN | $280.00 - $374.00 | |||||
|
Park Nicollet Health Care Products and Pharmacies (3) | $280.00 - $374.00 | |||||
| Park Nicollet Health Care Products | Maple Grove, MN | $280.00 - $374.00 | |||||
| Park Nicollet Health Care Products | Saint Louis Park, MN | $280.00 - $374.00 | |||||
| Park Nicollet Health Care Products | Minneapolis, MN | $280.00 - $374.00 | |||||
| Prosthetic Laboratories of Rochester Inc | Rochester, MN | $280.00 - $374.00 | |||||
|
Rice Home Medical (3) | $196.00 - $276.00 | |||||
| Rice Home Medical LLC | Alexandria, MN | $196.00 - $276.00 | |||||
| Rice Home Medical LLC | Redwood Falls, MN | $196.00 - $276.00 | |||||
| Rice Home Medical LLC | Willmar, MN | $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 | |||||
