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Maine rates for HCPCS 19303

Mastectomy Simple Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.42 / $1,671.55 / $8,254.79
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,612.31 / $9,904.66 / $11,053.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$955.42 / $3,985.61 / $29,262.70
Martin's Point
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,227.32 / $8,903.01 / $18,292.40