go back

Breast Prosthesis, Mastectomy Form

New Mexico rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated October 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$182

Typical negotiated rate. In New Mexico, October 2026.

Insurers have agreed to pay about $182 for this service. The price depends on where it is billed: about $191 from a physician practice, and about $170 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$191$126 to $251
FacilityA hospital or hospital-owned outpatient department$170$77.62 to $195

How much rates vary

Facilitymedian $170 · 10th to 90th $78 to $209Professionalmedian $191 · 10th to 90th $120 to $275
$100$200$500facility $170professional $191

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
None
Typical Low
$141.25
Median
$204.17
Typical High
$204.17
Ambetter
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
BCBS New Mexico
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$218.78
Typical High
$257.04
Cigna
Setting
Facility
Modifier
None
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$169.82
Molina
Setting
Professional
Modifier
None
Typical Low
$218.78
Median
$275.42
Typical High
$407.38
Providence
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$169.82
Typical High
$208.93
Providence
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$302.00
United
Setting
Facility
Modifier
None
Typical Low
$275.42
Median
$275.42
Typical High
$331.13
United
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$120.23
Typical High
$213.80

Where New Mexico sits

The same service costs 2.7 times more in Kansas than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Mexico· 27th of 51

$182

KS $339DE $126

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.