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Kentucky rates for HCPCS 19301

Mastectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.35 / $2,635.36 / $7,986.94
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,354.00 / $2,354.00 / $2,354.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.35 / $610.41 / $1,057.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$763.58 / $824.67 / $855.22
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,643.00 / $3,498.00 / $8,517.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.18 / $515.53 / $843.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$610.87 / $855.22 / $1,007.94
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.87 / $794.13 / $1,007.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.63 / $751.63 / $751.63
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$74.30 / $74.30 / $74.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.47 / $773.11 / $1,237.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $2,723.00 / $6,295.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.45 / $639.72 / $1,175.06