go back

Hawaii rates for HCPCS 19303

Mastectomy, simple, complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.55 / $2,747.00 / $5,484.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$7,909.50 / $7,909.50 / $7,909.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,030.69 / $1,124.39 / $1,311.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00