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West Virginia rates for HCPCS 19305

Mastectomy, radical, including pectoral muscles, axillary lymph nodes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,120.53 / $1,120.53 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,214.80 / $1,377.76 / $1,501.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.26 / $1,305.26 / $1,305.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$765.00 / $765.00 / $765.00