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Breast Prosthesis, Mastectomy Form

Montana rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$234

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $234 for this service. The price depends on where it is billed: about $234 from a physician practice, and about $234 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$234$170 to $234
FacilityA hospital or hospital-owned outpatient department$234$200 to $251

How much rates vary

Facilitymedian $234 · 10th to 90th $170 to $316Professionalmedian $234 · 10th to 90th $81 to $295
$100.0$200.0$500.0$1.0Kfacility $234professional $234

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
Professional
Modifier
Global
Typical Low
$77.62
Median
$208.93
Typical High
$1,096.48
BCBS
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$234.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$251.19
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$251.19
Typical High
$251.19
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$457.09
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$186.21
Median
$234.42
Typical High
$457.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$229.09
Typical High
$389.05
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$190.55
Typical High
$275.42
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$151.36
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$120.23
Typical High
$190.55

Where Montana 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.

Montana $234 · 7th 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.