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Tennessee rates for HCPCS 19301

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.25 / $3,063.00 / $8,386.32
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$5,465.40 / $5,465.40 / $5,465.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $690.45 / $2,048.71
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.53 / $878.16 / $1,098.22
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,128.00 / $3,728.00 / $5,959.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.96 / $800.66 / $1,334.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.04 / $924.62 / $1,432.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,470.04 / $8,723.79 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$164.32 / $826.90 / $826.90
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,694.80 / $4,805.92 / $5,710.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.00 / $3,626.00 / $6,285.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.55 / $867.86 / $1,411.68