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West Virginia rates for HCPCS 19303

Mastectomy, simple, complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $7,762.47 / $26,302.68
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,128.31 / $13,489.63 / $35,481.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.29 / $1,288.25 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $2,290.87
Cigna
Facility/Professional
Facility
Modifier
22
Low / Median / High Price
$1,949.84 / $1,949.84 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$162.18 / $162.18 / $162.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $15,488.17 / $30,902.95
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$20,417.38 / $23,442.29 / $63,095.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $18,620.87