go back

Vermont rates for HCPCS L8020

Breast prosthesis, mastectomy form

Facilitymedian $151 · 10th–90th $107$1780%20%40%10th90th$151Professionalmedian $117 · 10th–90th $117$1820%50%90th$117$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $117.49 / $181.97
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $169.82 / $177.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $169.82
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $234.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112.20 / $134.90 / $158.49
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $181.97 / $275.42