go back

Pennsylvania rates for HCPCS 19300

Mastectomy for gynecomastia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.90 / $3,589.00 / $8,240.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,058.35 / $6,182.00 / $17,094.48
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.93 / $10,680.90 / $13,068.14
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$808.45 / $4,264.00 / $8,240.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.50 / $423.20 / $566.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00