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Massachusetts rates for HCPCS 19301

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,890.45 / $7,762.47
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,584.89 / $6,456.54 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $794.33 / $2,630.27
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $5,128.61 / $45,708.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$870.96 / $870.96 / $870.96
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $912.01 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,318.26 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $1,258.93 / $2,344.23
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $1,348.96 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,230.27
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,230.27 / $1,995.26
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $4,365.16 / $11,481.54
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,348.96 / $1,445.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $5,370.32 / $45,708.82
Mass General Brigham
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$870.96 / $870.96 / $870.96
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $912.01 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $4,265.80 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $977.24 / $2,187.76