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Pennsylvania rates for HCPCS 19303

Mastectomy, simple, complete

Facilitymedian $6,166 · 10th–90th $1,738–$20,8930%10%20%10th90th$6,166$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $5,495.41 / $14,454.40
Aetna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $11,220.18
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$4,168.69 / $7,079.46 / $28,840.32
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $5,623.41 / $50,118.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,585.78 / $57,543.99
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $13,489.63 / $28,840.32
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$3,630.78 / $15,135.61 / $64,565.42
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $4,677.35 / $24,547.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $3,548.13 / $8,511.38
Martin's Point
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$11,481.54 / $19,952.62 / $40,738.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,011.87 / $21,379.62