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Missouri rates for HCPCS 19301

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $3,890.45 / $14,125.38
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,467.37 / $4,897.79 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $1,513.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $741.31 / $954.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $2,344.23 / $16,218.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $707.95 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $707.95 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $13,803.84 / $15,848.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $870.96 / $1,380.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $2,238.72 / $26,302.68
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$165.96 / $831.76 / $831.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $870.96 / $4,786.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.70 / $2,818.38 / $5,248.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $758.58 / $1,288.25