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Connecticut rates for HCPCS 19301

Mastectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,575.00 / $7,917.00 / $18,575.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,728.00 / $18,000.00 / $27,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.09 / $829.30 / $1,325.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,707.69 / $12,657.00 / $19,235.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.54 / $930.26 / $1,103.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.79 / $769.47 / $2,083.14
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.96 / $1,115.58 / $1,115.58
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,638.25 / $4,638.25 / $4,638.25
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,430.50 / $2,565.00 / $2,565.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,565.00 / $7,010.00 / $11,152.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.26 / $989.79 / $1,743.27