go back

Nevada rates for HCPCS L8020

Breast prosthesis, mastectomy form

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.28 / $81.28 / $81.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $134.90 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $204.17 / $223.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $181.97 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $169.82 / $208.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $125.89 / $190.55
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $257.04 / $446.68
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $134.90 / $181.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $173.78 / $245.47