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Oklahoma rates for HCPCS 19303

Mastectomy, simple, complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,392.00 / $4,112.00 / $10,382.20
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,151.00 / $5,083.63 / $10,965.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,221.62 / $11,214.31 / $17,622.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.32 / $1,525.59 / $7,992.00
Medica
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$1,442.13 / $1,442.13 / $1,442.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.00 / $4,054.00 / $7,077.94