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Hawaii rates for HCPCS 19301

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $616.60 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $741.31 / $812.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $912.01 / $7,943.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $758.58 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $758.58 / $1,047.13
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$831.76 / $3,715.35 / $6,165.95