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Indiana rates for HCPCS 19301

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$744.03 / $7,382.59 / $14,203.12
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,970.93 / $14,524.23 / $14,524.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.32 / $646.99 / $1,168.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.26 / $762.91 / $938.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,309.00 / $6,474.00 / $13,810.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.52 / $490.65 / $696.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.85 / $794.13 / $1,232.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.85 / $704.22 / $880.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,061.25 / $2,061.25 / $2,061.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.45 / $677.31 / $1,316.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,364.00 / $6,094.00 / $10,413.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.04 / $739.49 / $1,145.30