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Idaho rates for HCPCS 19301

Mastectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,182.69 / $5,519.00 / $9,040.93
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,751.16 / $3,751.16 / $3,751.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.91 / $902.81 / $1,182.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$901.45 / $1,103.50 / $1,231.98
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$761.49 / $993.86 / $1,272.14
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.96 / $1,132.69 / $1,294.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $901.42 / $1,134.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,614.19 / $8,752.65 / $11,549.09
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,637.69 / $13,128.98 / $18,010.05
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.42 / $1,019.42 / $1,210.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.92 / $921.69 / $1,353.27