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Indiana rates for HCPCS 19304

Mastectomy Subcutaneous

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,599.00 / $7,833.00 / $12,916.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89,999.10 / $89,999.10 / $89,999.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62,999.37 / $65,624.34 / $89,999.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,141.25 / $2,263.13 / $2,711.49