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Wisconsin rates for HCPCS 19300

Mastectomy for gynecomastia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.84 / $1,175.29 / $8,243.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,514.78 / $1,770.14 / $2,855.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.71 / $626.82 / $1,123.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.05 / $1,123.05 / $8,384.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$391.71 / $626.82 / $1,123.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$973.80 / $1,375.67 / $1,960.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,024.84 / $2,024.84 / $2,024.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,614.00 / $6,477.00 / $8,384.00