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Virginia rates for HCPCS 19303

Mastectomy Simple Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,538.00 / $5,360.00 / $9,873.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$2,902.08 / $6,116.00 / $9,735.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,955.00 / $11,210.00 / $17,424.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.30 / $1,087.56 / $1,341.32
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.47 / $1,264.58 / $1,763.77
Medcost
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$1,325.09 / $2,157.36 / $2,844.25
Medcost
Facility/Professional
Facility
Modifier
80
Low / Median / High Price
$176.68 / $287.64 / $379.23
Medcost
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$123.67 / $201.35 / $265.45
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$892.65 / $1,264.30 / $5,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00