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Breast Prosthesis, Mastectomy Form

Colorado rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$126

Typical negotiated rate. In Colorado, July 2026.

Insurers have agreed to pay about $126 for this service. The price depends on where it is billed: about $126 from a physician practice, and about $195 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 7 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$126$120 to $178
FacilityA hospital or hospital-owned outpatient department$195$120 to $245

How much rates vary

Facilitymedian $195 · 10th to 90th $78 to $339Professionalmedian $126 · 10th to 90th $117 to $204
$1.0$10.0$100.0$1.0Kfacility $195professional $126

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
$120.23
Median
$120.23
Typical High
$208.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$120.23
Typical High
$186.21
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$245.47
Median
$295.12
Typical High
$524.81
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$181.97
Typical High
$257.04
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
$251.19
Denver HMP
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$194.98
Typical High
$346.74
Denver HMP
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$245.47
Typical High
$489.78
Select Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$457.09
Typical High
$512.86
Select Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$245.47
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$181.97
Typical High
$245.47
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$120.23
Typical High
$186.21

Where Colorado 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.

Colorado $126 · 50th 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.