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Washington, DC rates for HCPCS 19301

Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy);

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $3,981.07 / $6,760.83
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,715.35 / $4,168.69 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $707.95 / $2,137.96
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $3,235.94 / $9,549.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $1,862.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $1,348.96 / $1,513.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.23 / $16,218.10 / $26,302.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $831.76 / $1,659.59