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Vermont rates for HCPCS 19301

Mastectomy Partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.09 / $734.51 / $2,611.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,164.90 / $4,924.78 / $11,221.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.95 / $812.12 / $2,315.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.85 / $1,112.83 / $2,315.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$833.84 / $1,112.83 / $2,315.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.51 / $914.54 / $2,841.71