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Breast Prosthesis, Mastectomy Form

Oregon 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 Oregon, July 2026.

Insurers have agreed to pay about $229 for this service. The price depends on where it is billed: about $219 from a physician practice, and about $263 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 8 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$219$145 to $282
FacilityA hospital or hospital-owned outpatient department$263$229 to $288

How much rates vary

Facilitymedian $263 · 10th to 90th $219 to $288Professionalmedian $219 · 10th to 90th $120 to $324
$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0Mfacility $263professional $219

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
Professional
Modifier
Global
Typical Low
$117.49
Median
$144.54
Typical High
$229.09
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
$125.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$537.03
Typical High
$645.65
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$218.78
Typical High
$295.12
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$234.42
Typical High
$323.59
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$281.84
Typical High
$288.40
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$288.40
Typical High
$316.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$239.88
Typical High
$354.81
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$251.19
Typical High
$309.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$302.00
Typical High
$1,122.02
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$323.59
Typical High
$323.59
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$181.97
Typical High
$389.05
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$120.23
Typical High
$229.09

Where Oregon 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.

Oregon $229 · 9th 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.