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North Carolina rates for HCPCS 19303

Mastectomy, simple, complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.09 / $5,796.94 / $9,957.92
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,733.69 / $5,518.55 / $9,197.58
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$883.39 / $1,170.30 / $1,853.08
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,325.09 / $1,801.19 / $3,514.99
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$176.68 / $240.16 / $468.67
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.67 / $164.29 / $328.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,590.04 / $15,214.55 / $26,542.00
Wellcare
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$212.10 / $1,442.13 / $1,442.13