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Louisiana rates for HCPCS 19301

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$762.00 / $2,082.00 / $6,562.27
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$18,724.03 / $18,724.03 / $18,724.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.91 / $831.11 / $1,046.70
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.07 / $741.08 / $1,030.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,804.45 / $4,754.93 / $6,846.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$695.26 / $747.19 / $979.90
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,513.26 / $3,513.26 / $3,513.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.11 / $793.26 / $1,204.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$746.00 / $2,415.00 / $6,585.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.34 / $797.67 / $1,536.03