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Breast Prosthesis, Mastectomy Form

Alabama rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$178

Typical negotiated rate. In Alabama, July 2026.

Insurers have agreed to pay about $178 for this service. Most negotiated rates run $126 to $229.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $182 · 10th to 90th $135 to $282Professionalmedian $174 · 10th to 90th $115 to $229
$1.0$10.0$100.0$1.0Kfacility $182professional $174

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$186.21
Typical High
$269.15
BCBS
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$199.53
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$138.04
Typical High
$213.80

Where Alabama sits

The same service costs 2.8 times more in Kansas than in Nebraska. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Alabama $178 · 22nd of 51
KS $339NE $120

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.