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West Virginia rates for HCPCS 19301

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,746.57 / $6,812.80 / $8,961.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.41 / $709.89 / $1,468.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$641.39 / $865.88 / $1,058.29
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.67 / $1,457.71 / $1,487.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.63 / $751.63 / $751.63
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$74.30 / $74.30 / $74.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.17 / $962.09 / $3,119.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,286.92 / $10,291.32 / $18,180.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.62 / $910.62 / $1,437.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.90 / $574.46 / $1,059.23