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Washington, DC rates for HCPCS 19303

Mastectomy Simple Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,080.00 / $5,076.00 / $6,780.62
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,581.00 / $7,791.00 / $8,785.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,052.45 / $2,186.17 / $2,186.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,648.00 / $3,378.00 / $26,408.00