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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 Hanger Prosthetics & Orthotics (2) $253.90 - $338.67  
  Heides Mastectomy Services Edina, MN $253.90 - $338.67
  Heides Mastectomy Services of Duluth Inc Duluth, MN $253.90 - $338.67
Expand group Mayo Clinic Store (2) $253.90 - $338.67  
  Nordstrom Inc Minnetonka, MN $253.90 - $338.67
  Nordstrom Inc - Mall of America Bloomington, MN $253.90 - $338.67
  North Metro Orthotics & Prosthetics Inc Fridley, MN $253.90 - $338.67
  Park Nicollet Health Care Products Saint Louis Park, MN $253.90 - $338.67
Expand group Rice Home Medical (3) $253.90 - $338.67  
Expand group Sanford Home Medical Equipment (2)  
  Superior Medical Services Blaine, MN $253.90 - $338.67
  Superior Medical Services Inc Woodbury, MN $253.90 - $338.67
  Tandem Orthotics & Prosthetics Inc Sartell, MN $253.90 - $338.67
  Tillges Certified Orthotic Prosthetic Inc Maplewood, MN $253.90 - $338.67
  Underneath It All Eden Prairie, MN $253.90 - $338.67