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Arkansas rates for HCPCS 19303

Mastectomy, simple, complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.38 / $1,846.00 / $8,948.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,757.11 / $4,643.10 / $13,426.00
Aetna
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$4,148.00 / $4,148.00 / $4,148.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,044.39 / $6,044.39 / $7,253.27
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,401.74 / $1,401.74 / $1,401.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,447.62 / $3,447.62 / $3,447.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,240.00 / $2,311.00 / $5,652.00