go back

Breast Prosthesis, Mastectomy Form

Vermont 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 Vermont, July 2026.

Insurers have agreed to pay about $135 for this service. Most negotiated rates run $117 to $182.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $151 · 10th to 90th $112 to $178Professionalmedian $135 · 10th to 90th $117 to $191
$100.0$200.0$500.0$1.0Kfacility $151professional $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. Small sample; interpret with caution. 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
$117.49
Typical High
$181.97
BCBS
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$169.82
Typical High
$177.83
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$169.82
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$138.04
Typical High
$204.17
United
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$181.97
Typical High
$489.78

Where Vermont 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.

Vermont $135 · 45th 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.