go back

Colorado rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.39 / $120.39 / $120.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.29 / $120.39 / $205.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.78 / $270.54 / $491.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.77 / $180.77 / $188.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $170.64 / $170.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.57 / $124.57 / $305.95
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.55 / $128.82 / $300.98
Denver HMP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.55 / $77.55 / $77.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.55 / $300.98 / $476.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.07 / $120.12 / $215.96