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Missouri rates for HCPCS 19301

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

Facilitymedian $3,548 · 10th–90th $933–$14,1250%10%10th90th$3,548Professionalmedian $759 · 10th–90th $537–$1,4790%10%20%10th90th$759$0.5$5.0$50.0$500.0$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $3,890.45 / $14,125.38
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,467.37 / $4,897.79 / $13,803.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $758.58 / $1,513.56
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $933.25
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $2,290.87 / $16,218.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $707.95 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $707.95 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $13,803.84 / $15,848.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $851.14 / $1,348.96
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$588.84 / $1,995.26 / $26,302.68
Medica
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$165.96 / $831.76 / $831.76
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $851.14 / $4,786.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,818.38 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $776.25 / $1,230.27