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Breast Prosthesis, Mastectomy Form

Florida rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$145

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $145 for this service. The price depends on where it is billed: about $145 from a physician practice, and about $204 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 8 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$145$117 to $204
FacilityA hospital or hospital-owned outpatient department$204$132 to $513

How much rates vary

Facilitymedian $204 · 10th to 90th $117 to $525Professionalmedian $145 · 10th to 90th $117 to $229
$1.0$10.0$100.0$1.0Kfacility $204professional $145

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
$117.49
Median
$186.21
Typical High
$524.81
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$223.87
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$263.03
AvMed
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
AvMed
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$263.03
Typical High
$281.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$169.82
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$512.86
Median
$512.86
Typical High
$512.86
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$165.96
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$144.54
Typical High
$165.96
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$281.84
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$204.17
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$281.84

Where Florida 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.

Florida $145 · 37th 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.