go back

Minnesota rates for HCPCS 19301

Mastectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$612.41 / $3,390.52 / $7,504.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.09 / $666.74 / $2,547.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,023.26 / $6,631.62 / $14,092.16
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,691.53 / $13,186.96 / $23,122.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.67 / $1,729.62 / $2,426.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,543.03 / $2,188.19 / $5,264.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.86 / $2,109.69 / $3,005.81
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.36 / $2,000.54 / $4,144.89
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.04 / $1,887.62 / $2,501.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.44 / $2,585.00 / $7,734.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.08 / $1,670.90 / $2,655.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,735.00 / $4,974.00 / $8,812.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.08 / $1,666.53 / $2,578.38