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Montana rates for HCPCS L8020

Breast prosthesis, mastectomy form

Facilitymedian $234 · 10th–90th $170–$3160%20%40%10th90th$234Professionalmedian $200 · 10th–90th $81–$2510%20%10th90th$200$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $173.78 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $234.42 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $251.19 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $251.19 / $251.19
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $234.42 / $457.09
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $234.42 / $457.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $229.09 / $389.05
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $190.55 / $275.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $151.36 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $120.23 / $190.55