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Minnesota rates for HCPCS 19303

Mastectomy Simple Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$885.56 / $1,328.33 / $9,469.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,164.99 / $6,738.26 / $21,383.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,438.71 / $11,345.35 / $23,174.60
BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$14,869.44 / $22,560.19 / $39,557.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,231.16 / $3,164.06 / $7,611.57
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,813.77 / $2,892.71 / $5,993.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,296.24 / $2,178.89 / $9,404.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,026.80 / $5,979.00 / $13,884.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00