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Utah rates for HCPCS 19303

Mastectomy Simple Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,033.06 / $6,374.00 / $13,762.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$3,105.83 / $6,031.02 / $21,504.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,155.27 / $12,364.35 / $18,018.40
Regence BlueShield
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$13,732.91 / $18,546.53 / $27,027.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $6,097.00 / $8,267.00