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Breast Prosthesis, Mastectomy Form

Arkansas rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$151

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $151 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $371,535 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$135$117 to $151
FacilityA hospital or hospital-owned outpatient department$371,535$331 to $758,578

How much rates vary

Facilitymedian $371,535 · 10th to 90th $151 to $891,251Professionalmedian $135 · 10th to 90th $79 to $166
$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0Mfacility $371,535professional $135

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
Facility
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$147.91
Typical High
$162.18
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$309.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$169.82
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$125.89
Typical High
$181.97

Where Arkansas 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.

Arkansas $151 · 33rd 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.