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Montana rates for HCPCS 19301

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,802.25 / $2,738.70 / $7,443.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.09 / $658.03 / $4,403.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.92 / $1,047.92 / $1,047.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.92 / $1,047.92 / $1,047.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.89 / $1,047.92 / $1,090.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$516.38 / $1,079.00 / $1,155.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.59 / $957.98 / $1,381.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.82 / $1,105.48 / $1,830.58