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South Carolina rates for HCPCS 19303

Mastectomy Simple Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.52 / $6,975.82 / $16,467.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$4,486.59 / $13,800.89 / $24,647.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,056.85 / $6,408.32 / $12,856.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,413.02 / $3,413.02 / $4,385.79
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.02 / $1,141.56 / $2,111.56
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,329.03 / $1,494.80 / $2,591.13
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$177.20 / $199.31 / $345.48
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$124.04 / $139.51 / $241.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $12,798.00 / $19,665.00