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Pennsylvania rates for HCPCS 19305

Mastectomy, radical, including pectoral muscles, axillary lymph nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $2,747.00 / $8,451.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $46,480.74
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,510.64 / $4,510.64 / $4,510.64
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,006.54 / $3,964.00 / $8,451.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.49 / $1,126.49 / $1,137.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,391.00 / $6,228.00