go back

Rhode Island rates for HCPCS 19301

Mastectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$921.74 / $3,955.04 / $9,586.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.22 / $646.99 / $668.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$665.53 / $782.98 / $1,199.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $1,059.55 / $1,549.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,654.00 / $3,447.00 / $7,350.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.05 / $943.26 / $1,449.63