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Breast Prosthesis, Mastectomy Form

North Dakota rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$229

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $229 from a physician practice, and about $174 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 5 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$229$174 to $269
FacilityA hospital or hospital-owned outpatient department$174$174 to $229

How much rates vary

Facilitymedian $174 · 10th to 90th $174 to $295Professionalmedian $229 · 10th to 90th $145 to $295
$100.0$200.0$500.0$1.0Kfacility $174professional $229

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
$173.78
Median
$173.78
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$173.78
Typical High
$954.99
BCBS
Setting
Professional
Modifier
Global
Typical Low
$199.53
Median
$263.03
Typical High
$288.40
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$107.15
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$316.23
Typical High
$398.11
Medica
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$229.09
Typical High
$524.81
Medica
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$120.23
Typical High
$239.88
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$181.97
Typical High
$323.59

Where North Dakota 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.

North Dakota $229 · 8th 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.