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Maryland rates for HCPCS 19303

Mastectomy Simple Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,210.10 / $6,135.10 / $11,898.54
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,320.21 / $9,339.12 / $15,811.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,828.59 / $2,828.59 / $2,828.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,013.46 / $1,307.35 / $2,163.37