go back

Oklahoma rates for HCPCS 19301

Mastectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.25 / $4,071.00 / $9,307.48
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$10,552.17 / $10,552.17 / $10,552.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.74 / $673.09 / $928.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.19 / $727.31 / $818.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.62 / $11,257.78 / $17,715.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.90 / $853.67 / $1,083.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.49 / $824.92 / $1,006.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$666.74 / $1,013.53 / $5,882.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$826.90 / $826.90 / $826.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.29 / $838.65 / $4,805.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.00 / $2,900.00 / $5,543.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.29 / $721.85 / $1,066.20