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West Virginia rates for HCPCS 19303

Mastectomy Simple Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,273.51 / $7,813.07 / $26,580.07
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$9,001.75 / $22,093.72 / $22,093.72
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.49 / $1,261.56 / $1,541.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,090.83 / $1,090.83 / $1,090.83
Cigna
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$107.67 / $107.67 / $107.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,038.65 / $15,316.20 / $30,678.93
Highmark BCBS
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$8,090.83 / $21,841.18 / $63,673.60