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Breast Prosthesis, Mastectomy Form

Kansas rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$339

Typical negotiated rate. In Kansas, July 2026.

Insurers have agreed to pay about $339 for this service. The price depends on where it is billed: about $339 from a physician practice, and about $240 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$339$182 to $339
FacilityA hospital or hospital-owned outpatient department$240$200 to $363

How much rates vary

Facilitymedian $240 · 10th to 90th $78 to $389Professionalmedian $339 · 10th to 90th $126 to $339
$1.0$10.0$100.0$1.0Kfacility $240professional $339

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
$239.88
Median
$239.88
Typical High
$239.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$151.36
Typical High
$229.09
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$213.80
Typical High
$213.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$380.19
Typical High
$398.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$316.23
Medica
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$199.53
Typical High
$691.83
Medica
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$141.25
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$234.42
Typical High
$288.40
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$141.25
Typical High
$213.80

Where Kansas 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.

Kansas $339 · 1st 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.