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Breast Prosthesis, Mastectomy Form

New Mexico rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$162

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $162 for this service. The price depends on where it is billed: about $162 from a physician practice, and about $200 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 7 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$162$145 to $219
FacilityA hospital or hospital-owned outpatient department$200$158 to $245

How much rates vary

Facilitymedian $200 · 10th to 90th $78 to $288Professionalmedian $162 · 10th to 90th $112 to $282
$100.0$200.0$500.0$1.0Kfacility $200professional $162

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
$151.36
Median
$151.36
Typical High
$151.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$1,096.48
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$218.78
Typical High
$257.04
Cigna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$398.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$275.42
Typical High
$407.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$199.53
Typical High
$288.40
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$331.13
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$123.03
Typical High
$181.97

Where New Mexico 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.

New Mexico $162 · 25th 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.