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Wisconsin rates for HCPCS 19302

Mastectomy Partial W/Axillary Lymphadenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.58 / $11,139.00 / $13,367.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $12,444.00 / $19,639.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.51 / $2,646.26 / $4,268.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.58 / $1,149.31 / $3,121.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$858.29 / $7,217.00 / $15,743.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.58 / $1,149.31 / $3,121.62
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.85 / $2,409.50 / $3,250.14
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,214.55 / $15,214.55 / $15,214.55
Quartz
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,442.13 / $1,442.13 / $1,442.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,301.00 / $11,608.00 / $13,980.00