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Breast Prosthesis, Mastectomy Form

Kentucky rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$135

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $170 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$135$132 to $145
FacilityA hospital or hospital-owned outpatient department$170$129 to $295

How much rates vary

Facilitymedian $170 · 10th to 90th $129 to $380Professionalmedian $135 · 10th to 90th $117 to $195
$1.0$10.0$100.0$1.0Kfacility $170professional $135

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
$128.82
Median
$128.82
Typical High
$134.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$131.83
Typical High
$194.98
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$213.80
Typical High
$218.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$281.84
Typical High
$295.12
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$144.54
Typical High
$181.97
CareSource
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$371.54
Typical High
$478.63
CareSource
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$338.84
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$380.19
Typical High
$380.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$218.78
Typical High
$1,348.96
Molina
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$181.97
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$158.49
Typical High
$213.80
United
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$138.04
Typical High
$213.80

Where Kentucky 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.

Kentucky $135 · 47th 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.