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North Carolina rates for HCPCS 19301

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

Facilitymedian $6,026 · 10th–90th $977–$9,1200%10%20%10th90th$6,026Professionalmedian $813 · 10th–90th $550–$2,2390%10%20%10th90th$813$1.0$10.0$100.0$1.0K$10.0K

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
$1,000.00 / $6,025.60 / $8,709.64
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$645.65 / $6,456.54 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $776.25 / $2,290.87
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $977.24 / $1,122.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $954.99 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $977.24 / $1,659.59
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $741.31 / $1,202.26
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $1,737.80
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $933.25 / $1,023.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $7,244.36 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $724.44 / $1,380.38
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $8,912.51 / $45,708.82
Wellcare
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,754.40 / $5,754.40