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New York rates for HCPCS 19301

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.34 / $6,012.00 / $13,508.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,528.12 / $10,222.08 / $33,189.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $734.00 / $2,110.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.04 / $711.83 / $711.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,283.00 / $6,758.00 / $20,583.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.60 / $763.23 / $1,831.81
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$928.78 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.78 / $928.78 / $928.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.63 / $751.63 / $5,246.94
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$74.30 / $74.30 / $74.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.91 / $1,174.76 / $2,455.56
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $709.44 / $1,777.93
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$780.38 / $889.34 / $1,940.48
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.58 / $704.52 / $1,306.40
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,532.80 / $5,113.55 / $8,214.20
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,228.49 / $5,228.49 / $8,854.79
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$767.81 / $772.04 / $867.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $751.63 / $23,610.00
MVP Health Care
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$74.30 / $74.30 / $74.30
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.71 / $1,146.66 / $2,331.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,031.00 / $4,908.00 / $18,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.78 / $824.60 / $1,970.89
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.52 / $704.52 / $1,188.17
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.58 / $816.76 / $1,385.40