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Breast Prosthesis, Mastectomy Form

Nevada rates for HCPCS L8020

Breast prosthesis, mastectomy form

Rates data updated July 2026.

How much does Breast Prosthesis, Mastectomy Form cost?

$135

Typical negotiated rate. In Nevada, July 2026.

Insurers have agreed to pay about $135 for this service. The price depends on where it is billed: about $135 from a physician practice, and about $81.28 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$135$112 to $209
FacilityA hospital or hospital-owned outpatient department$81.28$81.28 to $158

How much rates vary

Facilitymedian $81 · 10th to 90th $81 to $257Professionalmedian $135 · 10th to 90th $81 to $355
$100$200$500$1Kfacility $81professional $135

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
$81.28
Median
$81.28
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$1,096.48
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$269.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$181.97
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$208.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$190.55
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$257.04
Typical High
$436.52
Select Health
Setting
Facility
Modifier
Global
Typical Low
$257.04
Median
$257.04
Typical High
$257.04
Select Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$229.09
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$151.36
Typical High
$181.97
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$173.78
Typical High
$281.84

Where Nevada sits

The same service costs 2.8 times more in Kansas than in Nebraska. 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.

Nevada· 46th of 51

$135

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.