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Arizona rates for HCPCS 19301

Mastectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.00 / $4,067.38 / $7,605.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,952.00 / $4,094.00 / $7,234.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.48 / $682.10 / $2,611.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.14 / $805.68 / $1,088.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.17 / $2,515.38 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.28 / $543.04 / $678.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,833.49 / $2,833.49 / $2,833.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.99 / $733.87 / $1,416.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.16 / $853.46 / $3,801.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$164.32 / $826.90 / $826.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.79 / $724.28 / $4,805.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$532.70 / $686.16 / $1,265.47