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Breast Prosthesis, Mastectomy Form

Massachusetts rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$209

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $182 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 9 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$209$120 to $209
FacilityA hospital or hospital-owned outpatient department$182$107 to $427

How much rates vary

Facilitymedian $182 · 10th to 90th $105 to $759Professionalmedian $209 · 10th to 90th $105 to $324
$1.0$10.0$100.0$1.0K$10.0Kfacility $182professional $209

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
$104.71
Median
$104.71
Typical High
$104.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$123.03
Typical High
$331.13
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$446.68
Typical High
$1,288.25
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$295.12
BCBS
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$426.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$169.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$190.55
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$316.23
Health New England
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$446.68
Typical High
$1,288.25
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$204.17
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$186.21
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$208.93
Typical High
$218.78

Where Massachusetts 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.

Massachusetts $209 · 14th 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.