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Colorado rates for HCPCS L8020

Breast prosthesis, mastectomy form

Facilitymedian $209 · 10th–90th $120–$2950%20%40%10th90th$209Professionalmedian $135 · 10th–90th $112–$2400%20%10th90th$135$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$120.23 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $134.90 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $275.42 / $524.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $181.97 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $169.82 / $169.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $251.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $245.47 / $489.78
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $245.47 / $245.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $158.49 / $245.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $120.23 / $245.47