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Montana rates for HCPCS 19305

Mastectomy, radical, including pectoral muscles, axillary lymph nodes

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.85 / $1,820.85 / $1,820.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.18 / $1,892.15 / $2,021.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,422.13 / $1,422.13 / $1,422.13