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Tennessee rates for HCPCS 19303

Mastectomy, simple, complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$853.00 / $3,466.50 / $7,602.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,744.20 / $4,643.10 / $11,546.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,695.00 / $5,500.00 / $9,283.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,590.04 / $15,214.55 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$238.29 / $1,442.13 / $1,442.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,259.00 / $4,567.00 / $7,669.00