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Ohio rates for HCPCS 19303

Mastectomy, simple, complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,462.24 / $5,273.51 / $11,627.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,422.94 / $6,770.00 / $13,436.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,895.00 / $5,945.00 / $29,406.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.57 / $1,143.21 / $1,358.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,130.98 / $4,303.54 / $8,958.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $6,111.00 / $10,499.00