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Massachusetts rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.20 / $105.20 / $105.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.20 / $117.03 / $223.16
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.75 / $554.07 / $1,269.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.57 / $188.11 / $235.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.28 / $139.28 / $413.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.88 / $209.76 / $209.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.28 / $170.64 / $170.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.57 / $170.64 / $316.50
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $4,618.00 / $9,239.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.94 / $194.94 / $204.69
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.04 / $135.04 / $135.04
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.07 / $1,269.54 / $1,269.54
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.52 / $128.69 / $235.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.06 / $128.69 / $271.16