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Pennsylvania rates for HCPCS 19110

Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct

Facilitymedian $3,802 · 10th–90th $575–$8,5110%5%10%10th90th$3,802$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $3,801.89 / $8,511.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,248.07 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $8,128.31 / $13,803.84
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,454.71 / $8,317.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $407.38 / $512.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $3,981.07 / $12,589.25