go back

Maine rates for HCPCS 19301

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,079.46 / $21,379.62
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,818.38 / $3,019.95 / $12,589.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $660.69 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $891.25 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $954.99 / $1,445.44
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $1,318.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $7,413.10 / $21,379.62
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,818.38 / $3,019.95 / $12,589.25
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,621.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $912.01 / $1,659.59