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Wisconsin rates for HCPCS 19300

Mastectomy for gynecomastia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $891.25 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $7,943.28 / $12,589.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $1,778.28 / $2,818.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,348.96 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $4,073.80 / $8,709.64
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $1,380.38 / $2,089.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $5,888.44 / $8,709.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $7,413.10 / $9,120.11