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West Virginia rates for HCPCS 19303

Mastectomy, simple, complete

Facilitymedian $10,233 · 10th–90th $3,236–$26,3030%10%10th90th$10,233$200.0$1.0K$5.0K$20.0K

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
$5,248.07 / $7,762.47 / $26,302.68
Aetna
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$8,128.31 / $13,489.63 / $35,481.34
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,258.93 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $1,621.81 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
22
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$162.18 / $162.18 / $162.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $22,387.21 / $30,902.95
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Typical Low / Median / Typical High
$21,877.62 / $26,302.68 / $63,095.73
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $18,620.87