go back

Missouri rates for HCPCS 19303

Mastectomy Simple Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.16 / $4,367.00 / $14,141.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,665.50 / $4,393.77 / $13,681.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,087.00 / $4,587.00 / $17,951.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,488.00 / $13,882.00 / $15,775.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$824.99 / $1,705.45 / $26,542.00
Medica
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,583.71 / $6,049.50 / $6,291.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$238.29 / $1,442.13 / $1,442.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,748.00 / $3,700.00 / $7,042.00