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Kansas rates for HCPCS 19301

Mastectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,549.05 / $12,600.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,980.00 / $4,536.00 / $4,536.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.09 / $568.97 / $878.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.81 / $675.63 / $1,046.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,855.70 / $4,872.10 / $6,817.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.13 / $788.39 / $788.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,517.00 / $12,517.00 / $12,517.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.60 / $909.00 / $1,307.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.97 / $957.62 / $26,542.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.66 / $771.39 / $4,805.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,436.00 / $3,096.00 / $5,565.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.69 / $722.26 / $1,320.41