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Texas rates for HCPCS 19301

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

Facilitymedian $3,388 · 10th–90th $832$10,2330%5%10%10th90th$3,388Professionalmedian $676 · 10th–90th $490$1,4130%20%10th90th$676$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$812.83 / $3,019.95 / $9,549.93
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$1,230.27 / $4,786.30 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $660.69 / $1,479.11
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $630.96 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,786.30 / $9,332.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $645.65 / $1,000.00
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $3,890.45 / $8,128.31
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $537.03 / $1,000.00
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $3,548.13 / $3,548.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,187.76 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $851.14 / $1,380.38
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,754.40 / $5,754.40
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $1,659.59 / $7,943.28
Moda Health
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$2,041.74 / $4,786.30 / $16,595.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $870.96 / $1,445.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,202.26 / $1,584.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $758.58 / $1,380.38
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $851.14 / $1,380.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $3,630.78 / $7,244.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $691.83 / $1,122.02
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $660.69 / $660.69