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Arizona rates for HCPCS 19303

Mastectomy Simple Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,856.02 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,728.00 / $6,179.25 / $9,944.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$849.99 / $3,243.64 / $5,113.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,941.68 / $4,941.68 / $4,941.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.30 / $1,239.69 / $6,117.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,929.20 / $2,929.20 / $2,929.20
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$238.29 / $1,442.13 / $1,442.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $4,545.00 / $7,217.00